Intracardiac Surgery in Pregnant Women

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Abstract

A survey of members of The Society of Thoracic Surgeons was undertaken to obtain information on experiences with cardiac operations in pregnant women. The experiences reported were highly successful, with only 1 maternal death in 68 procedures utilizing cardiopulmonary bypass and more than 80% survival of fetuses. Cardiac operations in pregnant patients probably can be made safer by avoidance of perfusion hypothermia and by use of fetal heart and uterine monitoring. When valve replacement is necessary, use of biological valves is recommended to avoid the necessity for anticoagulation.

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Presented at the Nineteenth Annual Meeting of The Society of Thoracic Surgeons, San Francisco, CA, Jan 17–19, 1983.

I thank all the members of the STS as well as the other surgeons who were kind enough to respond to the questionnaire. Many answered in great detail and although the large volume of responses precludes invidual acknowledgments it does seem appropriate to list the contributors of open cardiac operations. Open mitral commissurotomy-R. Gomez, Peoria, IL; S. Saleh, Amman, Jordan; J. Wright, Sydney, Australia; R. Harrison, Grand Rapids, MI; R. Beaudet, Montreal, PQ; M. Levy, Petah Tiqva, Israel (3 operations); W. Young, Madison, WI (3); J. Morris, Ann Arbor, MI; J. Utley, San Diego, CA (3); and S. Phillips, Des Moines, IA. Pulmonary embolectomy-J. Rees, Ogden, UT. Atrial septa1 defect-J. Pate, Memphis, TN; N. Montague, Birmingham, AL; Pan-Chih, Shanghai, People's Republic of China; and J. Baker, Sacramento, CA. Coronary bypass-P. Bedard, Ottawa, Ont; R. Beaudet, Montreal, PQ; and R. Dietzman, St. Paul, MN. Aortic valve replacement-L. Watkins, Baltimore, MD; L. Mills, Dallas, TX; J. Delmonico, Syracuse, NY; J. Pate, Memphis, TN; and D. Harken, Cambridge, MA. Mitral valve replacement- J. McLaughlin, Baltimore, MD; J. Wright, Sydney, Australia (2); M. Levy, Petah Tiqva, Israel; H. Bolooki, Miami, FL; A. Dobell, Montreal, PQ; N. Mills, Jefferson, LA; G. Olinger, Milwaukee, WI; W. Fleming, Omaha, NE; and M. Mirhoseini, Milwaukee, WI.

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Copyright © 1983 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.