Management of cardiac surgery with cardiopulmonary bypass in pregnancy
10.3760/cma.j.issn.1001-4497.2016.05.017
- VernacularTitle:妊娠期体外循环下心脏手术临床处理策略
- Author:
Yulong XUAN
;
Jun PAN
;
Qing ZHOU
;
Qiang WANG
;
Dongjin WANG
- Publication Type:Journal Article
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2016;32(5):306-308
- CountryChina
- Language:Chinese
-
Abstract:
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.
