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Beating Heart Aortic Valve Replacement in a Pregnant Patient
Author(s) -
Tehrani Hassan,
Masroor Saqib,
Lombardi Pierluca,
Rosenkranz Eliot,
Salerno Tomas
Publication year - 2004
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.0886-0440.2004.02067.x
Subject(s) - medicine , cardiopulmonary bypass , aortic valve replacement , cardiology , hyperkalemia , hypothermia , valve replacement , aortic valve , mechanical valve , thrombosis , surgery , stenosis
A 23‐year‐old woman with a history of previous bileaflet mechanical aortic valve replacement presented in acute heart failure at 27 weeks of gestation. Transthoracic echocardiography (TEE) demonstrated minimal leaflet excursion consistent with valve thrombosis. The patient underwent emergent surgery with normothermic cardiopulmonary bypass (CPB), and beating‐heart technique for valve replacement. This novel strategy for aortic valve replacement is being presented as being particularly useful in pregnant patients whose fetuses are at risks of hypothermia, hemodilution, and hyperkalemia during CPB. (J Card Surg 2004;19:57‐58)