Cardiac surgery under cardiopulmonary bypass in pregnancy: report of four cases
Abstract Background Open heart surgery during pregnancy is relatively rare at home and abroad, and there is a higher risk and probability of maternal and infant death. How to carry out heart valve replacement under cardiopulmonary bypass (CPB) under the premise of ensuring the safety of mother and c...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2021-09-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-021-01650-4 |
| _version_ | 1818722488826200064 |
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| author | Youhao You Shenghua Liu Zhaohong Wu Dunjin Chen Gefei Wang Gangdong Chen Youguang Pan Xing Zheng |
| author_facet | Youhao You Shenghua Liu Zhaohong Wu Dunjin Chen Gefei Wang Gangdong Chen Youguang Pan Xing Zheng |
| author_sort | Youhao You |
| collection | DOAJ |
| description | Abstract Background Open heart surgery during pregnancy is relatively rare at home and abroad, and there is a higher risk and probability of maternal and infant death. How to carry out heart valve replacement under cardiopulmonary bypass (CPB) under the premise of ensuring the safety of mother and child is the focus of attention at home and abroad. Case introduction We reported four cases of cardiac surgeries under CPB during pregnancy performed in our hospital from March 2020 to March 2021. Two of the patients continued their pregnancy after cardiac surgery under CPB. Three patients had infective endocarditis and the other one had an ascending aortic aneurysm. Three patients underwent heart valve placement with the mechanical mitral valve when the other one underwent Bentall surgery. The operations of four cases were all successful, and further follow-up evaluation of the pregnant women and fetuses showed no abnormalities. The patients' detailed information is shown in the following table. Conclusion Heart disease during pregnancy should be treated actively and proactively when the patient has obvious symptoms. Heart valve replacement under CPB will be the first choice, and this may become the primary surgical treatment for symptomatic heart disease during pregnancy. |
| first_indexed | 2024-12-17T20:55:26Z |
| format | Article |
| id | doaj.art-d4b8cbd86b0a459abd93fda58474d89b |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-17T20:55:26Z |
| publishDate | 2021-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-d4b8cbd86b0a459abd93fda58474d89b2022-12-21T21:32:54ZengBMCJournal of Cardiothoracic Surgery1749-80902021-09-011611510.1186/s13019-021-01650-4Cardiac surgery under cardiopulmonary bypass in pregnancy: report of four casesYouhao You0Shenghua Liu1Zhaohong Wu2Dunjin Chen3Gefei Wang4Gangdong Chen5Youguang Pan6Xing Zheng7Thoracic and Cardiovascular Surgery, The Third Affiliated Hospital of Guangzhou Medical UniversityThoracic and Cardiovascular Surgery, The Third Affiliated Hospital of Guangzhou Medical UniversityThoracic and Cardiovascular Surgery, The Third Affiliated Hospital of Guangzhou Medical UniversityObstetrics and Gynecology Department, The Third Affiliated Hospital of Guangzhou Medical UniversityThoracic and Cardiovascular Surgery, The Third Affiliated Hospital of Guangzhou Medical UniversityThoracic and Cardiovascular Surgery, The Third Affiliated Hospital of Guangzhou Medical UniversityThoracic and Cardiovascular Surgery, The Third Affiliated Hospital of Guangzhou Medical UniversityThoracic and Cardiovascular Surgery, The Third Affiliated Hospital of Guangzhou Medical UniversityAbstract Background Open heart surgery during pregnancy is relatively rare at home and abroad, and there is a higher risk and probability of maternal and infant death. How to carry out heart valve replacement under cardiopulmonary bypass (CPB) under the premise of ensuring the safety of mother and child is the focus of attention at home and abroad. Case introduction We reported four cases of cardiac surgeries under CPB during pregnancy performed in our hospital from March 2020 to March 2021. Two of the patients continued their pregnancy after cardiac surgery under CPB. Three patients had infective endocarditis and the other one had an ascending aortic aneurysm. Three patients underwent heart valve placement with the mechanical mitral valve when the other one underwent Bentall surgery. The operations of four cases were all successful, and further follow-up evaluation of the pregnant women and fetuses showed no abnormalities. The patients' detailed information is shown in the following table. Conclusion Heart disease during pregnancy should be treated actively and proactively when the patient has obvious symptoms. Heart valve replacement under CPB will be the first choice, and this may become the primary surgical treatment for symptomatic heart disease during pregnancy.https://doi.org/10.1186/s13019-021-01650-4Heart valve diseasesCardiac surgical procedureCardiopulmonary bypassPregnancyMultidisciplinary teamPerioperative management |
| spellingShingle | Youhao You Shenghua Liu Zhaohong Wu Dunjin Chen Gefei Wang Gangdong Chen Youguang Pan Xing Zheng Cardiac surgery under cardiopulmonary bypass in pregnancy: report of four cases Journal of Cardiothoracic Surgery Heart valve diseases Cardiac surgical procedure Cardiopulmonary bypass Pregnancy Multidisciplinary team Perioperative management |
| title | Cardiac surgery under cardiopulmonary bypass in pregnancy: report of four cases |
| title_full | Cardiac surgery under cardiopulmonary bypass in pregnancy: report of four cases |
| title_fullStr | Cardiac surgery under cardiopulmonary bypass in pregnancy: report of four cases |
| title_full_unstemmed | Cardiac surgery under cardiopulmonary bypass in pregnancy: report of four cases |
| title_short | Cardiac surgery under cardiopulmonary bypass in pregnancy: report of four cases |
| title_sort | cardiac surgery under cardiopulmonary bypass in pregnancy report of four cases |
| topic | Heart valve diseases Cardiac surgical procedure Cardiopulmonary bypass Pregnancy Multidisciplinary team Perioperative management |
| url | https://doi.org/10.1186/s13019-021-01650-4 |
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