Kikon Mhonchan, Dutta Choudhury Krishnanu, Prakash Neeraj, Gupta Anubhav, Grover Vijay, Kumar Gupta Vijay
Department of Cardiothoracic and Vascular Surgery, Post Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India.
Res Cardiovasc Med. 2014 May;3(2):e17561. doi: 10.5812/cardiovascmed.17561. Epub 2014 Apr 1.
Cardiac diseases occur in 2-4% of pregnancies and rheumatic mitral disease is the most common acquired heart disease in pregnancy. Cardiac surgery carries significant maternal and fetal complications. Cardiac operation during pregnancy is indicated only when medical management fails. Although emergency cardiac surgery during pregnancy increases fetal mortality, sometime urgent cardiac surgery is inevitable. Cardiac surgery can be performed with relative safety during pregnancy by adopting normothermic, high flow rate circulation and continuous fetal activity monitoring.
We reviewed English literature of a pregnant patient undergoing cardiac surgery during pregnancy. We presented a 25-year-old woman admitted with massive hemoptysis.
The patient underwent a successful mitral valve replacement during the third trimester. The aim of our study was to propose a practical guideline for similar situations.
2%至4%的孕妇会发生心脏疾病，风湿性二尖瓣疾病是孕期最常见的后天性心脏病。心脏手术会带来重大的母体和胎儿并发症。只有在药物治疗无效时才考虑在孕期进行心脏手术。尽管孕期急诊心脏手术会增加胎儿死亡率，但有时紧急心脏手术不可避免。通过采用常温、高流量循环和持续胎儿活动监测，孕期可相对安全地进行心脏手术。
我们回顾了孕期接受心脏手术的孕妇的英文文献。我们介绍了一名因大量咯血入院的25岁女性。
该患者在孕晚期成功进行了二尖瓣置换术。我们研究的目的是为类似情况提出实用的指导原则。
