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Valve cardiac surgery during pregnancy. Experience of eight cases

PURPOSE: To analyze the results of the valve cardiac surgery in pregnant women and cardiopulmonary bypass consequences to the patients and their fetuses. METHODS: Study of 8 pregnant women who underwent cardiac surgery between January of 1986 and December of 1996. Patients' average age was 31.4±8.9 years and the gestation age ranged from 12 to 31 (average of 26,6±7,1) weeks . Fetus monitorization was performed in all patients. The temperature was always higher than 34°C, as well as high flow rates during the cardiopulmonary bypass. Four surgeries of aortic valve and four of mitral valve were performed, in which two were reoperations. RESULTS: There was no mortality. There were two premature births and in one child there was neurological damage. The other children did not have growth problems. CONCLUSION: Valve cardiac surgery in pregnant women may have good results as long as care in the cardiopulmonary bypass and fetus monitorization are undertaken.

cardiac surgery; cardiopulmonary bypass; pregnancy


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