Annals of Cardiac Anaesthesia (Jan 2014)

Cardiopulmonary bypass in pregnancy

  • Mukul Chandra Kapoor

DOI
https://doi.org/10.4103/0971-9784.124133
Journal volume & issue
Vol. 17, no. 1
pp. 33 – 39

Abstract

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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.

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