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Mitral valve repair in infective endocarditis during pregnancy


1 Department of Anesthesiology, Nagoya University Graduate School of Medicine, Nagoya, Japan
2 Division of Anesthesiology, ese Red Cross Nagoya Daiichi Hospital, Nagoya, Japan

Correspondence Address:
Takahiro Tamura
Department of Anesthesiology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-Ku, Nagoya
Japan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_165_17

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Year : 2018  |  Volume : 21  |  Issue : 2  |  Page : 189-191

 

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Infective endocarditis (IE) during pregnancy and subsequent cardiac surgery are rare and associated with a high risk of mortality for the mother and fetus. It is difficult to determine the right time for cardiac intervention when IE is diagnosed early in pregnancy. A 33-year-old previously healthy woman in the 11th week of pregnancy was diagnosed with IE and underwent surgical intervention. The cardiopulmonary bypass settings and the anesthetic drugs were carefully chosen. Although she was in good health, while being discharged, the fetus did not survive. Anesthesiologists prioritizing the mother's survival should aim to improve fetal outcomes in such cases.






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1 Department of Anesthesiology, Nagoya University Graduate School of Medicine, Nagoya, Japan
2 Division of Anesthesiology, ese Red Cross Nagoya Daiichi Hospital, Nagoya, Japan

Correspondence Address:
Takahiro Tamura
Department of Anesthesiology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-Ku, Nagoya
Japan
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_165_17

Rights and Permissions

Infective endocarditis (IE) during pregnancy and subsequent cardiac surgery are rare and associated with a high risk of mortality for the mother and fetus. It is difficult to determine the right time for cardiac intervention when IE is diagnosed early in pregnancy. A 33-year-old previously healthy woman in the 11th week of pregnancy was diagnosed with IE and underwent surgical intervention. The cardiopulmonary bypass settings and the anesthetic drugs were carefully chosen. Although she was in good health, while being discharged, the fetus did not survive. Anesthesiologists prioritizing the mother's survival should aim to improve fetal outcomes in such cases.






[FULL TEXT] [PDF]*


        
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