Key result
Evidence supports managing pregnant patients with CVD similarly to non-pregnant patients using multidisciplinary care.
Why the study?
To summarize perioperative anesthetic considerations for obstetric patients undergoing non-obstetric surgery, specifically focusing on cardiac surgery and interventional cardiology procedures.
Obstetric patients requiring cardiac procedures or non-obstetric surgery should receive multidisciplinary care that generally follows established perioperative principles for non-pregnant patients, as standard anesthetic agents are not teratogenic.
Supports multidisciplinary care for pregnant cardiac patients; leaves open need for prospective trials to strengthen evidence.
Purpose of Review This review summarizes perioperative anesthetic considerations for obstetric patients undergoing non-obstetric surgery, with a focus on cardiac surgery and interventional cardiology procedures. Recent Findings In general, current evidence supports managing pregnant patients similarly to non-pregnant patients when medically indicated. A patient’s pregnant state should not impede necessary surgery, interventions, or medications. Anesthetic agents used at standard concentrations are not associated with teratogenicity, and moderate sedation is an acceptable option for pregnancy termination in high-risk cardiac patients at early gestations. Summary Obstetric patients presenting for cardiac procedures require multidisciplinary, patient-centered care that adheres to established perioperative principles for non-obstetric surgery in pregnancy. The anesthesiologist plays a critical role in optimizing maternal and fetal outcomes within the pregnancy heart team.
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Kraitem et al. (2026) conducted a review in Cardiovascular disease in pregnancy. Perioperative anesthetic management was evaluated. Current evidence supports managing pregnant patients with cardiovascular disease similarly to non-pregnant patients when medically indicated, utilizing multidisciplinary care to optimize outcomes.
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