Beating heart aortic valve replacement in a pregnant patient

被引:11
作者
Tehrani, H [1 ]
Masroor, S [1 ]
Lombardi, P [1 ]
Rosenkranz, E [1 ]
Salerno, T [1 ]
机构
[1] Univ Miami, Jackson Mem Hosp, Div Cardiothorac Surg, Miami, FL 33136 USA
关键词
D O I
10.1111/j.0886-0440.2004.02067.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 23-year-old woman with a history of previous bileaflet mechanical aortic valve replacement presented in acute heart failure at 27 weeks of gestation. Transthoracic echocardiography (TEE) demonstrated minimal leaflet excursion consistent with valve thrombosis. The patient underwent emergent surgery with normothermic cardiopulmonary bypass (CPB), and beating-heart technique for valve replacement. This novel strategy for aortic valve replacement is being presented as being particularly useful in pregnant patients whose fetuses are at risks of hypothermia, hemodilution, and hyperkalemia during CPB.
引用
收藏
页码:57 / 58
页数:2
相关论文
共 4 条
[1]   SIMULTANEOUS ARTERIAL AND CORONARY SINUS CARDIOPLEGIC PERFUSION - AN EXPERIMENTAL AND CLINICAL-STUDY [J].
IHNKEN, A ;
MORITA, K ;
BUCKBERG, GD ;
AHARON, A ;
LAKS, H ;
BEYERSDORF, F ;
SALERNO, TA .
THORACIC AND CARDIOVASCULAR SURGEON, 1994, 42 (03) :141-147
[2]   Cardiac operations during pregnancy: Review of factors influencing fetal outcome [J].
Mahli, A ;
Izdes, S ;
Coskun, D .
ANNALS OF THORACIC SURGERY, 2000, 69 (05) :1622-1626
[3]   Cardiopulmonary bypass in pregnancy [J].
Pomini, F ;
Mercogliano, D ;
Cavalletti, C ;
Caruso, A ;
Pomini, P .
ANNALS OF THORACIC SURGERY, 1996, 61 (01) :259-268
[4]   The use of pulsatile perfusion during aortic valve replacement in pregnancy [J].
Tripp, HF ;
Stiegel, RM ;
Coyle, JP .
ANNALS OF THORACIC SURGERY, 1999, 67 (04) :1169-1171