Emergency tricuspid valve replacement during pregnancy - 07/08/11
: Anesthesiology Resident, Matt Klas, MD, FRCP(C) b : Clinical Assistant ProfessorAbstract |
A 36 year-old intravenous drug user at 19 weeks’ gestation required emergency tricuspid valve replacement for severe tricuspid regurgitation and cardiogenic shock refractory to medical therapy. Normothermic, pulsatile, high-flow, and pressure cardiopulmonary bypass (CPB) was used in the absence of fetal monitoring. Ten days postoperatively, the patient miscarried. She was discharged from hospital two months following surgery. High-flow (> 3.0 L/min2), high-pressure (> 70 mmHg), normothermic CPB using pulsatile flow and blood cardioplegia is thought to offer the best outcome to the fetus, although data to support these claims are not compelling.
Le texte complet de cet article est disponible en PDF.Keywords : Anesthesia, Obstetrical, Tricuspid valve replacement surgery
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| ☆ | No departmental or institutional funding was involved in the preparation of this case. |
Vol 22 - N° 6
P. 454-459 - septembre 2010 Retour au numéro
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