PMID- 24739641
OWN - NLM
STAT- MEDLINE
DCOM- 20141204
LR  - 20140417
IS  - 0529-567X (Print)
IS  - 0529-567X (Linking)
VI  - 49
IP  - 2
DP  - 2014 Feb
TI  - [Maternal and fetal outcomes in pregnant patients undergoing cardiac surgery with 
      cardiopulmonary bypass].
PG  - 104-8
AB  - OBJECTIVE: To evaluate the optimal management of cardiac surgery during 
      pregnancy, and the maternal and fetal outcomes in pregnant patients undergoing 
      cardiac surgery with the use of cardiopulmonary bypass. METHODS: Nine pregnant 
      women with heart diseases were identified, who underwent cardiac surgery with 
      cardiopulmonary bypass between January 2002 and March 2013. Patient charts were 
      reviewed for pregnant age, types of heart diseases, surgical indication, 
      parameters of cardiopulmonary bypass, and maternal and fetal outcomes. RESULTS: 
      Among 9 patients, there were 4 cases of valvular heart disease (two of rheumatic 
      heart disease complicated with subacute bacterial endocarditis and heart failure, 
      one of mechanical prosthetic valves flap after mitral replacement, one of severe 
      aortic stenosis), one case of aortic dissection, three cases with atrial myxoma, 
      and one case with tetralogy of Fallot. The New York Heart Association (NYHA) 
      functional classification: there were three cases with class I, two with class 
      II, two with class III, and two with class IV. Heart surgeries were performed 
      from 9 to 39 weeks gestation. Five patients underwent heart surgery with 
      cardiopulmonary bypass combined with cesarean section. The other 4 patients 
      terminated pregnancies after heart surgeries, two of whom underwent uterine 
      curettage in first trimester, one induction of labor in second trimester, and one 
      continued to be pregnant until 37 weeks' gestation. Seven patients were alive. 
      Nine fetal outcomes were included two with artificial abortion, one with 
      induction of labor and one with cesarean section in second trimester, two of 
      premature labor and three of full-term labor with cesarean section in third 
      trimester. Five newborns were no malformation, four of whom were alive. 
      CONCLUSION: Cardiopulmonary bypass can be used safely with satisfactory maternal 
      and fetal outcomes in pregnant patients with heart disease undergoing cardiac 
      surgery.
FAU - Wang, Huanying
AU  - Wang H
AD  - Department of Obstetrics and Gynecology, Beijing Anzhen Hospital Affiliated to 
      Capital Medical University, Beijing 100029, China.
FAU - Zhang, Jun
AU  - Zhang J
AD  - Email: drzhangj@outlook.com.
FAU - Li, Bin
AU  - Li B
FAU - Li, Yanna
AU  - Li Y
FAU - Zhang, Haofeng
AU  - Zhang H
FAU - Wang, Yaqin
AU  - Wang Y
FAU - Sun, Lizhong
AU  - Sun L
FAU - Meng, Xu
AU  - Meng X
LA  - chi
PT  - English Abstract
PT  - Journal Article
PL  - China
TA  - Zhonghua Fu Chan Ke Za Zhi
JT  - Zhonghua fu chan ke za zhi
JID - 16210370R
SB  - IM
MH  - Abortion, Induced
MH  - Adult
MH  - Cardiac Surgical Procedures/methods
MH  - *Cardiopulmonary Bypass
MH  - Cesarean Section
MH  - Female
MH  - Heart Diseases/mortality/*surgery
MH  - Humans
MH  - Infant, Newborn
MH  - Pregnancy
MH  - Pregnancy Complications, Cardiovascular/mortality/*surgery
MH  - *Pregnancy Outcome
MH  - Retrospective Studies
MH  - Time Factors
MH  - Treatment Outcome
EDAT- 2014/04/18 06:00
MHDA- 2014/12/15 06:00
CRDT- 2014/04/18 06:00
PHST- 2014/04/18 06:00 [entrez]
PHST- 2014/04/18 06:00 [pubmed]
PHST- 2014/12/15 06:00 [medline]
PST - ppublish
SO  - Zhonghua Fu Chan Ke Za Zhi. 2014 Feb;49(2):104-8.