孕期心脏手术
Cardiac Surgery During Pregnancy.
作者信息
Stephens Elizabeth H, Dearani Joseph A, Mauermann William, Bendel-Stenzel Ellen M, Arendt Katherine W, Rose Carl H, Blau Caitlin, Crestanello Juan, Schaff Hartzell
机构信息
Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota.
Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota.
出版信息
Ann Thorac Surg Short Rep. 2022 Aug 19;1(1):203-205. doi: 10.1016/j.atssr.2022.08.004. eCollection 2023 Mar.
The need for cardiovascular surgery during pregnancy is infrequent but is expected to increase as more patients with congenital heart disease live into childbearing years. Care for women considering pregnancy with residual, recurrent, or newly identified lesions related to congenital heart disease disease must address therapeutic options that maximize the mother's health while acknowledging concerns for procedural effects on fetal development and risks associated with preterm delivery. This report summarizes the current knowledge regarding optimal intraoperative techniques for the pregnant patient and provides recommendations to optimize maternal and fetal outcomes.
孕期进行心血管手术的需求并不常见，但随着越来越多的先天性心脏病患者活到育龄期，这种需求预计会增加。对于考虑怀孕但患有与先天性心脏病相关的残留、复发或新发现病变的女性，护理必须考虑治疗方案，在关注手术对胎儿发育的影响以及早产风险的同时，最大程度地保障母亲的健康。本报告总结了有关孕妇最佳术中技术的现有知识，并提出优化母婴结局的建议。
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