Cardiopulmonary bypass in pregnancy
Cardiac surgery carried out on cardiopulmonary bypass (CPB) in a pregnant woman is associated with poor neonatal outcomes although maternal outcomes are similar to cardiac surgery in non-pregnant women. Most adverse maternal and fetal outcomes from cardiac surgery during pregnancy are attributed to...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Annals of Cardiac Anaesthesia |
| Subjects: | |
| Online Access: | http://www.annals.in/article.asp?issn=0971-9784;year=2014;volume=17;issue=1;spage=33;epage=39;aulast=Kapoor |
| _version_ | 1819170970494042112 |
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| author | Mukul Chandra Kapoor |
| author_facet | Mukul Chandra Kapoor |
| author_sort | Mukul Chandra Kapoor |
| collection | DOAJ |
| description | Cardiac surgery carried out on cardiopulmonary bypass (CPB) in a pregnant woman is associated with poor neonatal outcomes although maternal outcomes are similar to cardiac surgery in non-pregnant women. Most adverse maternal and fetal outcomes from cardiac surgery during pregnancy are attributed to effects of CPB. The CPB is associated with utero-placental hypoperfusion due to a number of factors, which may translate into low fetal cardiac output, hypoxia and even death. Better maternal and fetal outcomes may be achieved by early pre-operative optimization of maternal cardiovascular status, use of perioperative fetal monitoring, optimization of CPB, delivery of a viable fetus before the operation and scheduling cardiac surgery on an elective basis during the second trimester. |
| first_indexed | 2024-12-22T19:43:51Z |
| format | Article |
| id | doaj.art-1cfa37e9b9c4466bb943680707e44d6d |
| institution | Directory Open Access Journal |
| issn | 0971-9784 |
| language | English |
| last_indexed | 2024-12-22T19:43:51Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Cardiac Anaesthesia |
| spelling | doaj.art-1cfa37e9b9c4466bb943680707e44d6d2022-12-21T18:14:45ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97842014-01-01171333910.4103/0971-9784.124133Cardiopulmonary bypass in pregnancyMukul Chandra KapoorCardiac surgery carried out on cardiopulmonary bypass (CPB) in a pregnant woman is associated with poor neonatal outcomes although maternal outcomes are similar to cardiac surgery in non-pregnant women. Most adverse maternal and fetal outcomes from cardiac surgery during pregnancy are attributed to effects of CPB. The CPB is associated with utero-placental hypoperfusion due to a number of factors, which may translate into low fetal cardiac output, hypoxia and even death. Better maternal and fetal outcomes may be achieved by early pre-operative optimization of maternal cardiovascular status, use of perioperative fetal monitoring, optimization of CPB, delivery of a viable fetus before the operation and scheduling cardiac surgery on an elective basis during the second trimester.http://www.annals.in/article.asp?issn=0971-9784;year=2014;volume=17;issue=1;spage=33;epage=39;aulast=KapoorCardiac output; Cardiac surgery; Pharmacodynamics; SevofluraneBidirectional Glenn procedure; Continuous positive airway pressure; Pressure support ventilation; Intermittent positive-pressure ventilation; Synchronized intermittent mandatory ventilationGeneral anesthesia; MitraClip; Mitral regurgitation; Transesophageal echocardiographyCardiac surgery; Congenital; Monitoring; NeurologicalCardiac surgeryCardiopulmonary bypassFetal outcomesMaternal outcomesPregnancyUteroplacental perfusion |
| spellingShingle | Mukul Chandra Kapoor Cardiopulmonary bypass in pregnancy Annals of Cardiac Anaesthesia Cardiac output; Cardiac surgery; Pharmacodynamics; Sevoflurane Bidirectional Glenn procedure; Continuous positive airway pressure; Pressure support ventilation; Intermittent positive-pressure ventilation; Synchronized intermittent mandatory ventilation General anesthesia; MitraClip; Mitral regurgitation; Transesophageal echocardiography Cardiac surgery; Congenital; Monitoring; Neurological Cardiac surgery Cardiopulmonary bypass Fetal outcomes Maternal outcomes Pregnancy Uteroplacental perfusion |
| title | Cardiopulmonary bypass in pregnancy |
| title_full | Cardiopulmonary bypass in pregnancy |
| title_fullStr | Cardiopulmonary bypass in pregnancy |
| title_full_unstemmed | Cardiopulmonary bypass in pregnancy |
| title_short | Cardiopulmonary bypass in pregnancy |
| title_sort | cardiopulmonary bypass in pregnancy |
| topic | Cardiac output; Cardiac surgery; Pharmacodynamics; Sevoflurane Bidirectional Glenn procedure; Continuous positive airway pressure; Pressure support ventilation; Intermittent positive-pressure ventilation; Synchronized intermittent mandatory ventilation General anesthesia; MitraClip; Mitral regurgitation; Transesophageal echocardiography Cardiac surgery; Congenital; Monitoring; Neurological Cardiac surgery Cardiopulmonary bypass Fetal outcomes Maternal outcomes Pregnancy Uteroplacental perfusion |
| url | http://www.annals.in/article.asp?issn=0971-9784;year=2014;volume=17;issue=1;spage=33;epage=39;aulast=Kapoor |
| work_keys_str_mv | AT mukulchandrakapoor cardiopulmonarybypassinpregnancy |