Carrascal Hinojal Y, Molina Ruiz L, Maroto Castellanos L C, Cortina Romero J M, Pérez de la Sota E, López Gude M J, Rufilanchas Sánchez J J
Servicio de Cirugía Cardíaca, Hospital 12 de Octubre, Madrid.
Rev Esp Cardiol. 1996 Oct;49(10):776-9.
Parameters of flow, temperature and perfusion, and modifications in body fluids secondary to surgery with extracorporeal circulation do not imply an increase in maternal risk during pregnancy but they eventually considerably increase fetal morbimortality. We present the case of a 22 week pregnant woman with severe aortic stenosis who underwent extracorporeal surgery for valve replacement without fetal mortality during the procedure. Literature about the use of extracorporeal surgery in the treatment of valve pathology in pregnancy, the parameters in which the reduction of fetal morbimortality is based and alternative treatments are broadly reviewed.
体外循环手术所涉及的血流、温度和灌注参数,以及手术引发的体液变化,虽未表明会增加孕期母亲的风险,但最终却显著增加了胎儿的病亡率。我们报告一例22周妊娠的严重主动脉瓣狭窄孕妇病例,该孕妇接受了体外瓣膜置换手术,术中胎儿未死亡。本文广泛综述了关于孕期瓣膜病变采用体外循环手术治疗的相关文献、降低胎儿病亡率所依据的参数以及替代治疗方法。