Heart Disease and Pregnancy: Case Series
Keywords:
Tetralogy of Fallot, pregnancy, Ebstein's anomaly, heart disease, aortic valve stenosis
Abstract
We report our experience managing pregnant patients with heart disease at the Simón Bolívar Hospital in Bogotá. The report includes three patients seen between January and December, 2009.
The first case is a 28-year old patient with tetralogy of Fallot and 38.3 weeks of gestation. The second case is a 20-year old patient in labor with an Ebstein's anomaly and 38.6 weeks of gestation. The third case is a 21-year old patient with severe aortic stenosis in week 39 of pregnancy.
The outcome in all three cases was favorable. Knowledge of the different heart diseases enables safe anesthetic management. The choice of the anesthetic technique requires assessment of the following parameters: cardiac reserve, ventricular function, pulmonary hypertension, pulmonary or duct stenosis, conduction defects and arrhythmias.
References
1. Kuczkowski KM, Zundert A. Anesthesia for pregnant women with valvular heart disease: the state of the art. J Anesth. 2007;21:252-7.
2. Goldeszmidt E, Macarthur A, Silversides C, et al. Anesthetic management of a consecutive cohort of women with heart disease for labor and delivery. Int J Obstet Anesth. 2010;19:266-72.
3. Elkayam U. Pregnancy and cardiovascular disease. En: Braunwald E, editor. Heart disease. A textbook of cardiovascular medicine, 8th ed. Philadelphia: Saunders; 2007. pp. 1969-70.
4. Camargo FM, Sarquis TA. Manejo perioperatorio de la paciente embarazada con enfermedad cardiaca. Rev Col Anest. 2006;34:49-54.
5. Oakley CM. Pregnancy and heart disease. En: Yusuf S, Cairns JA, Camm AJ, et al., editors. Evidence based cardiology. 11th ed. London: BMJ; 1998. pp. 915-35.
6. Zuber M, Gautschi N, Oechslin E, et al. Outcome of pregnancy in women with congenital shunt lesions. Heart. 1999;81:271-5.
7. Hernández YI, Pulido LE, Castro JA. Cardiopatías congénitas y embarazo. Rev Col Anesth. 2001;29:13.
8. Van Mook W, Peeters L. Severe cardiac disease in pregnancy. Part II: impact of the congenital and adquired cardiac diseases during pregnancy. Curr Opin Crit Care. 2005;11:435-48.
9. Drenten W, Pieper PG, Roos-Hesselink JD, et al. Outcome of pregnancy in women with congenital heart disease. A literature review. J Am Col Cardiol. 2007;49:2303-11.
10. Connolly HM, Warnes CA. Ebstein's anomaly: outcome of pregnancy. J Am Coll Cardiol. 1994;23: 1194-8.
11. Lara LS, Godinez OB. Anestesia, cardiopatia y embarazo. En: Canto AL, Higgin LF, Morales JL, et al., editores. Anestesia obstétrica. 2a ed. México: Manual Moderno; 2008. pp.499- 511.
12. Mangano DT. Anesthesia for the pregnant cardiac patient. En: Hughes SC, Levinson G, Rosen MA, editores. Shnider and Levinson's anesthesia for obstetrics. Philadelphia: Lippincott, Williams and Wilckins; 2002. pp. 345-81.
13. Harnett M, Tsen LC. Cardiovascular disease. En Chestnut DH, editor. Obstetric anesthesia. 4th ed. Philadelphia: Mosby Elsevier; 2009. pp. 881-912.
14. Gershon RY, Alleyne AS. Valoración preoperatoria de la parturienta con enfermedad concomitante. Parte I, enfermedades cardiacas. En: Mark M, editor. Anestesia Obstétrica. 2a ed. Mc Graw Hill; 2001. pp. 31-47.
15. Yap SC, Drenthen W, Pieper PG. Risk of complications during pregnancy in woman with congenital aortic stenosis. Int J Cardiol. 2008;126:240-6.
16. Kuczkowski KM, Chow I. Peripartum anesthesia management of the parturient with severe aortic stenosis: regional vs general anesthesia? Ann Fr Anesth Reanim. 2004;23:758-60.
17. Monsalve G, Martinez CM, Gallo T. et al. Paciente embarazada con enfermedad cardiaca. Manejo perioperatorio basado en la estratificación del riesgo. Serie de casos 2005-2009. Rev Col Anest. 2010;38: 348-60.
2. Goldeszmidt E, Macarthur A, Silversides C, et al. Anesthetic management of a consecutive cohort of women with heart disease for labor and delivery. Int J Obstet Anesth. 2010;19:266-72.
3. Elkayam U. Pregnancy and cardiovascular disease. En: Braunwald E, editor. Heart disease. A textbook of cardiovascular medicine, 8th ed. Philadelphia: Saunders; 2007. pp. 1969-70.
4. Camargo FM, Sarquis TA. Manejo perioperatorio de la paciente embarazada con enfermedad cardiaca. Rev Col Anest. 2006;34:49-54.
5. Oakley CM. Pregnancy and heart disease. En: Yusuf S, Cairns JA, Camm AJ, et al., editors. Evidence based cardiology. 11th ed. London: BMJ; 1998. pp. 915-35.
6. Zuber M, Gautschi N, Oechslin E, et al. Outcome of pregnancy in women with congenital shunt lesions. Heart. 1999;81:271-5.
7. Hernández YI, Pulido LE, Castro JA. Cardiopatías congénitas y embarazo. Rev Col Anesth. 2001;29:13.
8. Van Mook W, Peeters L. Severe cardiac disease in pregnancy. Part II: impact of the congenital and adquired cardiac diseases during pregnancy. Curr Opin Crit Care. 2005;11:435-48.
9. Drenten W, Pieper PG, Roos-Hesselink JD, et al. Outcome of pregnancy in women with congenital heart disease. A literature review. J Am Col Cardiol. 2007;49:2303-11.
10. Connolly HM, Warnes CA. Ebstein's anomaly: outcome of pregnancy. J Am Coll Cardiol. 1994;23: 1194-8.
11. Lara LS, Godinez OB. Anestesia, cardiopatia y embarazo. En: Canto AL, Higgin LF, Morales JL, et al., editores. Anestesia obstétrica. 2a ed. México: Manual Moderno; 2008. pp.499- 511.
12. Mangano DT. Anesthesia for the pregnant cardiac patient. En: Hughes SC, Levinson G, Rosen MA, editores. Shnider and Levinson's anesthesia for obstetrics. Philadelphia: Lippincott, Williams and Wilckins; 2002. pp. 345-81.
13. Harnett M, Tsen LC. Cardiovascular disease. En Chestnut DH, editor. Obstetric anesthesia. 4th ed. Philadelphia: Mosby Elsevier; 2009. pp. 881-912.
14. Gershon RY, Alleyne AS. Valoración preoperatoria de la parturienta con enfermedad concomitante. Parte I, enfermedades cardiacas. En: Mark M, editor. Anestesia Obstétrica. 2a ed. Mc Graw Hill; 2001. pp. 31-47.
15. Yap SC, Drenthen W, Pieper PG. Risk of complications during pregnancy in woman with congenital aortic stenosis. Int J Cardiol. 2008;126:240-6.
16. Kuczkowski KM, Chow I. Peripartum anesthesia management of the parturient with severe aortic stenosis: regional vs general anesthesia? Ann Fr Anesth Reanim. 2004;23:758-60.
17. Monsalve G, Martinez CM, Gallo T. et al. Paciente embarazada con enfermedad cardiaca. Manejo perioperatorio basado en la estratificación del riesgo. Serie de casos 2005-2009. Rev Col Anest. 2010;38: 348-60.
How to Cite
1.
Aguilera Castro F, Diaz P, Calderon JC, Gutierrez I. Heart Disease and Pregnancy: Case Series. Colomb. J. Anesthesiol. [Internet]. 2011 Apr. 1 [cited 2024 Apr. 26];39(2):207-14. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/749
Downloads
Download data is not yet available.
Published
2011-04-01
How to Cite
1.
Aguilera Castro F, Diaz P, Calderon JC, Gutierrez I. Heart Disease and Pregnancy: Case Series. Colomb. J. Anesthesiol. [Internet]. 2011 Apr. 1 [cited 2024 Apr. 26];39(2):207-14. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/749
Issue
Section
Original
Altmetric
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
