Department of Cardiology, University Medical Centre Groningen, University of Groningen, PO Box 30.001, 9700, RB, Groningen, the Netherlands,
Neth Heart J. 2012 Mar;20(3):125-8. doi: 10.1007/s12471-012-0244-3.
In pregnant women with heart disease, complications can arise due to the haemodynamic burden of pregnancy and to hypercoagulation. Most problems can be managed medically, but sometimes cardiac surgery or percutaneous intervention is unavoidable. Cardiac surgery has similar maternal mortality to that outside pregnancy, but foetal mortality and morbidity are considerable. Measures to reduce the risk by adaptation of the management of cardiopulmonary bypass are described. When gestational age is > 28 weeks, pre-surgery delivery of the foetus should be considered. Percutaneous intervention exposes the foetus to radiation. The radiation dose for common cardiac procedures, however, does not result in detectable harmful foetal effects.
在患有心脏病的孕妇中，由于妊娠的血液动力学负担和血液高凝状态，可能会出现并发症。大多数问题可以通过药物治疗来解决，但有时需要进行心脏手术或经皮介入治疗。心脏手术的孕产妇死亡率与妊娠外的心脏手术相似，但胎儿死亡率和发病率相当高。描述了通过调整体外循环管理来降低风险的措施。当胎龄 > 28 周时，应考虑在术前分娩胎儿。经皮介入会使胎儿暴露于辐射下。然而，常见心脏手术的辐射剂量不会对胎儿造成可检测到的有害影响。
