Cardiopulmonary bypass in pregnancy.
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Date
2014-01
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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.
Description
Keywords
Cardiac surgery, Cardiopulmonary bypass, Fetal outcomes, Maternal outcomes, Pregnancy, Uteroplacental perfusion
Citation
Kapoor Mukul Chandra. Cardiopulmonary bypass in pregnancy. Annals of Cardiac Anaesthesia. 2014 Jan; 17(1): 33-39.