AI Summary & Key Takeaways
AI InsightThese rates may even be lower if strict protocols performed during every step of surgery and after.
📌 3 Key Takeaways
Abstract
Pregnancy carries an increased risk for mother and the fetus in patients with cardiac disease. In this case we represent a woman with gestational age of 16 weeks, who was resuscitated and underwent double valve replacement with longer cardiopulmonary bypass times (112 minutes of cross clamping and 133 minutes of perfusion time) due to infective endocarditis and decompensed heart failure. After the surgery at 38th gestational weeks, she gave birth uneventfully to a healthy child whose Apgar score was 9 at first and fifth minutes of the delivery. Heart surgery during pregnancy can be performed with acceptable maternal and fetal mortality rates. These rates may even be lower if strict protocols performed during every step of surgery and after.
Özet
Kalp hastalığı bulunan hastalarda gebelik anne ve fetus artmış bir risk taşır. Bu yazıda gebeliğinin 16. haftasında resusite edilen ve uzun kardiyopulmoner bypass zamanlan ile (112 dakika kros-klemp ve 133 dakika perfüzyon zamanı) enfektif endokardit ve dekompanse kalp yetmezliği nedeniyle çift kapak replasmanı uygulanan bir hasta sunulmaktadır. Cerrahiden sonra hastamız birinci ve beşinci dakika Apgar skoru 9 olan sağlıklı bir bebek dünyaya getirmiştir. Gebelik sırasında kalp cerrahisi kabul edilebilir maternal ve fetal mortalite oranlan ile uygulanabilir. Cerrahi ve sonrası dönemde sıkı protokollere uyulursa, bu oranlar daha da azaltılabilir.