Lu Anyi, Ye Yingxian, Hu Jiaqi, Wei Ning, Wei Jinfeng, Lin Bimei, Wang Sheng
Department of Anesthesiology, Guangdong Cardiovascular Institute & Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
College of Medicine, Shantou University, Shantou, China.
Front Med (Lausanne). 2021 Dec 22;8:781690. doi: 10.3389/fmed.2021.781690. eCollection 2021.
Surgical intervention is expected to improve maternal outcomes in pregnant patients with heart disease once the conservative treatment fails. For pregnant patients with heart disease, the risk of cardiac surgery under cardiopulmonary bypass (CPB) must be balanced due to the high fetal loss. The video-assisted minimally invasive cardiac surgery (MICS) has been progressively applied and shows advantages in non-pregnant patients over the years. We present five cases of pregnant women who underwent a video-assisted minimally invasive surgical approach for cardiac surgery and the management strategies. In conclusion, the video-assisted MICS is feasible and safe to pregnant patients, with good maternal and fetal outcomes under the multidisciplinary assessment and management.
一旦保守治疗失败，手术干预有望改善患有心脏病的孕妇的母婴结局。对于患有心脏病的孕妇，由于胎儿丢失风险高，必须权衡体外循环（CPB）下心脏手术的风险。多年来，电视辅助微创心脏手术（MICS）已逐渐得到应用，并在非孕妇患者中显示出优势。我们介绍了5例接受电视辅助微创心脏手术的孕妇病例及其管理策略。总之，在多学科评估和管理下，电视辅助MICS对孕妇是可行且安全的，母婴结局良好。
