Pulmonary embolectomy and cardiopulmonary bypass during pregnancy
Keywords:
Extracorporeal circulation, Thoracic surgery, Anesthesia Pregnancy
Abstract
Cardiac surgery with extracorporeal circulation in obstetric patients is a separate chapter because of the physiological changes brought about by pregnancy and factors such as anesthetic management, monitoring and perfusion during the cardiopulmonary bypass that affects both the mother and the child; both experience different circumstances and have dissimilar interests. The paper discusses the anesthetic management of a patient during her 26.2 weeks of gestation with a pulmonary thromboembolism and atrial intracavitary thrombus attached to the central catheter with atrial septal defect.
References
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11. Crozier TA, Flamm C, Speer CP, Rath W, Wuttke W, Kuhn W, et al. Effects of etomidate on the adrenocortical and metabolic adaptation of the neonate. Br J Anaesth. 1993;70:47-53. PubMed PMID: 8431333.
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13. Guay J, Grenier Y, Varin F. Clinical pharmacokinetics of neuromuscular relaxants in pregnancy. Clin Pharmacokinet. 1998;34:483. PubMed PMID: 9646009.
14. Pomini F, Mercogliano D, Cavalletti C, Caruso A, Pomini P. Cardiopulmonary bypass in pregnancy. Ann Thorac Surg. 1996;61:259-68. PubMed PMID: 8561577.
15. Lamb MP, Ross K, Johnstone AM, Manners JM. Fetal heart monitoring during open heart surgery. Two case reports. Br J Obstet Gynaecol. 1981;88:669-74. PubMed PMID: 7195730.
16. Korsten HH, Van Zundert AA, Mooij PN, De Jong PA, Bavinck JH. Emergency aortic valve replacement in the 24th-week of pregnancy. Acta Anaesthesiol Belg. 1989;40:201-5. PubMed PMID: 2816249.
17. Becker RM. Intracardiac surgery in pregnant women. Ann Thorac Surg. 1983;36:453-8. PubMed PMID: 6625739.
18. Chambers CE, Clark SL. Cardiac surgery during pregnancy. Clin Obstet Gynecol. 1994;37:316-23. PubMed PMID: 8033446.
19. Bernal JM, Miralles PJ. Cardiac surgery with cardiopulmonary bypass during pregnancy. Obstet Gynecol Surv. 1986;41:1-6. PubMed PMID: 3510407.
20. Arnoni RT, Arnoni AS, Bonini RC, de Almeida AF, Neto CA, Dinkhuysen JJ, et al. Risk factors associated with cardiac surgery during pregnancy. Ann Thorac Surg. 2003;76:1605-8. PubMed PMID: 14602295.
2. Davies GA, Herbert WN. Congenital heart disease in pregnancy. J Obstet Gynaecol Can. 2007;29:409-14. PubMed PMID: 17493372.
3. Weiss BM, von Segesser LK, Alon E, Seifert B, Turina MI. Outcome of cardiovascular surgery and pregnancy: a systematic review of the period 1984-1996. Am J Obstet Gynecol. 1998;179:1643-53. PubMed PMID: 9855611.
4. Chandrasekhar S, Cook CR, Collard CD. Cardiac surgery in the parturient. Anesth Analg. 2009;108:777-85. PubMed PMID: 19224782.
5. Fujitani S, Baldisseri MR. Hemodynamic assessment in a pregnant and peripartum patient. Crit Care Med. 2005;33 10 Suppl.:S354-61. PubMed PMID: 16215359.
6. Qasqas SA, McPherson C, Frishman WH, Elkayam U. Cardiovascular pharmacotherapeutic considerations during pregnancy and lactation. Cardiol Rev. 2004;12:240-61. PubMed PMID: 15316305.
7. Kole SD, Jain SM, Walia A, Sharma M. Cardiopulmonary bypass in pregnancy. Ann Thorac Surg. 1997;63:915-6. PubMed PMID: 9066442.
8. Parry AJ, Westaby S. Cardiopulmonary bypass during pregnancy. Ann Thorac Surg. 1996;61:1865-9. PubMed PMID: 8651812.
9. Van De Velde M, De Buck F. Anesthesia for non-obstetric surgery in the pregnant patient. Minerva Anestesiol. 2007;73:235-40. PubMed PMID: 17473818.
10. Ní Mhuireachtaigh R, O'Gorman DA. Anesthesia in pregnant patients for nonobstetric surgery. J Clin Anesth. 2006;18:60-6. PubMed PMID: 16517336.
11. Crozier TA, Flamm C, Speer CP, Rath W, Wuttke W, Kuhn W, et al. Effects of etomidate on the adrenocortical and metabolic adaptation of the neonate. Br J Anaesth. 1993;70:47-53. PubMed PMID: 8431333.
12. Slamberová R. Drugs in pregnancy: the effects on mother and her progeny. Physiol Res. 2012;61 Suppl. 1:S123-35. PubMed PMID: 22827869.
13. Guay J, Grenier Y, Varin F. Clinical pharmacokinetics of neuromuscular relaxants in pregnancy. Clin Pharmacokinet. 1998;34:483. PubMed PMID: 9646009.
14. Pomini F, Mercogliano D, Cavalletti C, Caruso A, Pomini P. Cardiopulmonary bypass in pregnancy. Ann Thorac Surg. 1996;61:259-68. PubMed PMID: 8561577.
15. Lamb MP, Ross K, Johnstone AM, Manners JM. Fetal heart monitoring during open heart surgery. Two case reports. Br J Obstet Gynaecol. 1981;88:669-74. PubMed PMID: 7195730.
16. Korsten HH, Van Zundert AA, Mooij PN, De Jong PA, Bavinck JH. Emergency aortic valve replacement in the 24th-week of pregnancy. Acta Anaesthesiol Belg. 1989;40:201-5. PubMed PMID: 2816249.
17. Becker RM. Intracardiac surgery in pregnant women. Ann Thorac Surg. 1983;36:453-8. PubMed PMID: 6625739.
18. Chambers CE, Clark SL. Cardiac surgery during pregnancy. Clin Obstet Gynecol. 1994;37:316-23. PubMed PMID: 8033446.
19. Bernal JM, Miralles PJ. Cardiac surgery with cardiopulmonary bypass during pregnancy. Obstet Gynecol Surv. 1986;41:1-6. PubMed PMID: 3510407.
20. Arnoni RT, Arnoni AS, Bonini RC, de Almeida AF, Neto CA, Dinkhuysen JJ, et al. Risk factors associated with cardiac surgery during pregnancy. Ann Thorac Surg. 2003;76:1605-8. PubMed PMID: 14602295.
How to Cite
1.
Reyes O LE, Muñoz L, Maldonado CE. Pulmonary embolectomy and cardiopulmonary bypass during pregnancy. Colomb. J. Anesthesiol. [Internet]. 2013 Apr. 1 [cited 2024 Apr. 25];41(2):166-70. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/891
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Published
2013-04-01
How to Cite
1.
Reyes O LE, Muñoz L, Maldonado CE. Pulmonary embolectomy and cardiopulmonary bypass during pregnancy. Colomb. J. Anesthesiol. [Internet]. 2013 Apr. 1 [cited 2024 Apr. 25];41(2):166-70. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/891
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Section
Case Report / Case Series
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