Abraham Matthew S, Andrews Lijo M, Deo Harsha, Paul John, Angappan Santhalakshmi, Samuel Abraham, Abraham Abey S
School of Medicine, University of Leeds, Leeds LS2 9JT, UK.
Midwestern University Chicago College of Osteopathic Medicine, Downers Grove, IL 60515, USA.
Ann Card Anaesth. 2025 Jan 1;28(1):10-16. doi: 10.4103/aca.aca_136_24. Epub 2025 Jan 24.
This narrative review discusses the various challenges associated with the presence of a left ventricular assist device (LVAD) during pregnancy. Given the hemodynamic and coagulation changes associated with pregnancy, the presence of an LVAD adds a layer of complexity with respect to optimal management. This review will discuss the anesthetic considerations when dealing with this subset of patients who may have other comorbidities alongside their advanced heart failure. Additionally, this paper aims to review successful pregnancies with an LVAD placement focusing on the mode of delivery and hemodynamic management risk.
本叙述性综述讨论了妊娠期间左心室辅助装置（LVAD）存在所带来的各种挑战。鉴于妊娠相关的血流动力学和凝血变化，LVAD的存在给最佳管理增添了一层复杂性。本综述将讨论在处理这部分除晚期心力衰竭外可能还有其他合并症的患者时的麻醉注意事项。此外，本文旨在回顾LVAD植入后的成功妊娠情况，重点关注分娩方式和血流动力学管理风险。
