Tamura Takahiro, Yokota Shuichi
Department of Anesthesiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Division of Anesthesiology, ese Red Cross Nagoya Daiichi Hospital, Nagoya, Japan.
Ann Card Anaesth. 2018 Apr-Jun;21(2):189-191. doi: 10.4103/aca.ACA_165_17.
Infective endocarditis (IE) during pregnancy and subsequent cardiac surgery are rare and associated with a high risk of mortality for the mother and fetus. It is difficult to determine the right time for cardiac intervention when IE is diagnosed early in pregnancy. A 33-year-old previously healthy woman in the 11 week of pregnancy was diagnosed with IE and underwent surgical intervention. The cardiopulmonary bypass settings and the anesthetic drugs were carefully chosen. Although she was in good health, while being discharged, the fetus did not survive. Anesthesiologists prioritizing the mother's survival should aim to improve fetal outcomes in such cases.
妊娠期感染性心内膜炎（IE）及随后的心脏手术较为罕见，且母婴死亡风险很高。当在妊娠早期诊断出IE时，很难确定进行心脏干预的合适时机。一名33岁、既往健康的女性在妊娠11周时被诊断为IE并接受了手术干预。体外循环设置和麻醉药物均经过精心选择。尽管她身体状况良好，但出院时胎儿未能存活。在此类情况下，以母亲存活为首要目标的麻醉医生应致力于改善胎儿结局。
