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Homograft aortic root replacement during pregnancy.

Abstract
Operative cardiac interventions have been performed on pregnant women with varying degrees of success since the late 1950s. Currently, reported maternal mortality for cardiac operations is similar to the mortality rate for nonpregnant female patients. However, fetal mortality remains high, at approximately 20%. Aortic root replacement with an aortic homograft in a 34-year-old pregnant woman with bacterial endocarditis at 18 weeks gestation is presented. Fetal echocardiography during and after bypass was employed.
AuthorsKapil Gopal, Ida M Hudson, Jack Ludmir, Michael N Braffman, Stanley Ewing, Joseph E Bavaria, Kar-Lai Wong, Charles R Bridges
JournalThe Annals of thoracic surgery (Ann Thorac Surg) Vol. 74 Issue 1 Pg. 243-5 (Jul 2002) ISSN: 0003-4975 [Print] Netherlands
PMID12118771 (Publication Type: Case Reports, Journal Article)
Topics
  • Adult
  • Aortic Valve (transplantation)
  • Aortic Valve Insufficiency (surgery)
  • Cardiopulmonary Bypass
  • Female
  • Fetal Heart (diagnostic imaging)
  • Heart Arrest, Induced
  • Humans
  • Pregnancy
  • Pregnancy Complications, Cardiovascular (surgery)
  • Transplantation, Homologous
  • Ultrasonography, Prenatal

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