Non-emergency cardiac surgery with cardiopulmonary bypass during pregnancy: A retrospective cohort study in a single center
- VernacularTitle:妊娠期非急诊体外循环心脏手术的单中心回顾性队列研究
- Author:
Ciyan XIE
1
,
2
;
Xiaokang LUO
2
,
3
,
4
;
Jimei CHEN
2
,
3
,
4
;
Jian ZHUANG
2
,
3
,
4
Author Information
1. Department of Cardiac Surgery, Guangdong Provincial People&rsquo
2. s Hospital, Guangdong Academy of Medical Sciences, Guangdong Cardiovascular Institute, Guangzhou, 510080, P. R. China
3. 1. Department of Cardiac Surgery, Guangdong Provincial People&rsquo
4. 2. Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangzhou, 510080, P. R. China
- Publication Type:Journal Article
- Keywords:
Pregnancy;
cardiac surgery;
cardiopulmonary bypass;
gestation period;
intrauterine fetal reservation
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2022;29(06):724-728
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the clinical experience of cardiac surgery during pregnancy in a single center for the past 11 years. Methods The clinical data of 26 pregnant patients (mean age 28.6±4.9 years) complicated with heart diseases who underwent non-emergency cardiac surgery with cardiopulmonary bypass from 2010 to 2020 in Guangdong Provincial People's Hospital were retrospectively analyzed. Patients were divided into two groups according to the gestational age at the time of surgery: a change group (gestational age<21 weeks) and a stable group (gestational age≥ 21 weeks). The hospitalization data and follow-up data of the patients were collected. Results Mean gestational age at surgery was 23.4±4.2 weeks. Eleven patients had congenital heart diseases and fifteen had valvular heart diseases. Mean postoperative ICU stay was 2.5±2.4 d, and mean total hospital stay was 22.5±9.5 d. There were 5 postoperative fetal losses. There was no maternal death during follow-up. No statistical difference in the maternal postoperative outcomes between two groups. Conclusion The number of patients undergoing cardiac surgery during pregnancy is increasing. The maternal mortality rate is low and the prognosis is good, but the fetal loss remains concern. Cardiac surgery performed before or after the establishment of cardiopulmonary adjustment in pregnancy does not change the maternal postoperative outcomes.
