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Chapter 8 - Surgical and catheter intervention during pregnancy in women with heart disease

from Section 2 - Antenatal Care: General Considerations

Published online by Cambridge University Press:  05 March 2016

By
Henryk Kafka ,
Hideki Uemura  and
Anselm Uebing
Edited by
Philip J. Steer  and
Michael A. Gatzoulis
Philip J. Steer
Affiliation:
Chelsea and Westminster Hospital, London
Michael A. Gatzoulis
Affiliation:
Royal Brompton Hospital, London
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Heart Disease and Pregnancy , pp. 65 - 83
Publisher: Cambridge University Press
Print publication year: 2016

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References

Mazze, RI, Kallen, B. Reproductive outcome after anesthesia and operation during pregnancy: A registry study of 5405 cases. Am J Obstet Gynecol 1989;161:1178–85.CrossRefGoogle ScholarPubMed
Avila, WS, Rossi, EG, Ramires, JAF, et al. Pregnancy in patients with heart disease: Experience with 1000 cases. Clin Cardiol 2003;26:135–42.Google Scholar
Bhatla, N, Lal, S, Behera, G, et al. Cardiac disease in pregnancy. Int J Gynecol Obstet 2003;82:153–9.CrossRefGoogle ScholarPubMed
Mishra, S, Narang, R, Sharma, M, et al. Percutaneous transseptal mitral commissurotomy in pregnant women with critical mitral stenosis. Indian Heart J 2001;53:192–6.Google ScholarPubMed
Parry, AJ, Westaby, S. Cardiopulmonary bypass during pregnancy. Ann Thorac Surg 1996;61:1865–9.Google Scholar
Mora, CT. Pregnancy and cardiopulmonary bypass. In: Mora, CT, ed. Cardiopulmonary Bypass. Principles and Techniques of Extracorporeal Circulation. New York: Springer-Verlag; 1995. pp. 359–75.CrossRefGoogle Scholar
Sepehripour, AH, Lo, TT, Shipolini, AR, et al. Can pregnant women be safely placed on cardiopulmonary bypass? Interact CardioVasc Thorac Surg 2012;15:1063–71.Google Scholar
John, AS, Gurley, F, Schaff, HV, et al. Cardiopulmonary bypass during pregnancy. Ann Thorac Surg 2011;91:1191–7.Google Scholar
Weiss, BM, von Segesser, LK, Alon, E, et al. Outcome of cardiovascular surgery and pregnancy: A systematic review of the period 1984–1996. Am J Obstet Gynecol 1998;179:1643–53.CrossRefGoogle ScholarPubMed
Elassy, SMR, Elmidany, AA, Elbawab, HY. Urgent cardiac surgery during pregnancy: A continuous challenge. Ann Thorac Surg 2014;97:1624–9.CrossRefGoogle ScholarPubMed
Cook, DJ. Changing temperature management for cardiopulmonary bypass. Anesth Analg 1999;88:1254–71.Google Scholar
Nicolini, F, Beghi, C, Muscari, C, et al. Myocardial protection in adult cardiac surgery: Current options and future challenges. Eur J Cardiothorac Surg 2003;24:986–93.CrossRefGoogle ScholarPubMed
Pomini, F, Mercogliano, D, Cavalletti, C, et al. Cardiopulmonary bypass in pregnancy. Ann Thorac Surg 1996;61:259–68.CrossRefGoogle ScholarPubMed
Mahli, A, Izdes, S, Coskun, D. Cardiac operations during pregnancy: Review of factors influencing fetal outcome. Ann Thorac Surg 2000;69:1622–6.CrossRefGoogle ScholarPubMed
Ovrum, E, Holen, EA, Tangen, G, et al. Completely heparinized cardiopulmonary bypass and reduced systemic heparin: Clinical and hemostatic events. Ann Thorac Surg 1995;60:365–71.Google Scholar
Arnoni, RT, Arnoni, AS, Bonini, RCA, et al. Risk factors associated with cardiac surgery during pregnancy. Ann Thorac Surg 2003;76:1605–8.CrossRefGoogle ScholarPubMed
Karahan, N, Ozturk, T, Yetkin, U, et al. Managing severe heart failure in a pregnant patient undergoing cardiopulmonary bypass: Case report and review of the literature. J Cardiothorac Vasc Anesth 2004;18:339–43.Google Scholar
Royal College of Obstetricians and Gynaecologists. Tocolysis for Women in Preterm Labour. Green-top Guideline 1b, 2nd ed. London: RCOG, 2011.Google Scholar
Goldstein, I, Jakobi, P, Gutterman, E, et al. Umbilical artery flow velocity during maternal cardiopulmonary bypass. Ann Thorac Surg 1995;60:1116–18.CrossRefGoogle ScholarPubMed
Cohen, RG, Castro, LJ. Cardiac surgery during pregnancy. In: Elkayam, U, Gleicher, N, eds. Cardiac Problems in Pregnancy. 3rd edn. New York: Wiley-Liss; 1998. pp. 277–83.Google Scholar
Tehrani, H, Masroor, S, Lombardi, P, et al. Beating heart aortic valve replacement in a pregnant patient. J Card Surg 2004;19:57–8.Google Scholar
Jahangiri, M, Clark, J, Prefumo, F, et al. Cardiac surgery during pregnancy: Pulsatile or nonpulsatile perfusion? J Thorac Cardiovasc Surg 2003;126:894–5.Google Scholar
Chambers, CE, Clark, SL. Cardiac surgery during pregnancy. Clin Obstet Gynecol 1994;37:316–23.Google Scholar
Pardi, G, Ferrari, MM, Iorio, F, et al. The effect of maternal hypothermic cardiopulmonary bypass on fetal lamb temperature, hemodynamics, oxygenation, and acid–base balance. J Thorac Cardiovasc Surg 2004;127:1728–34.Google Scholar
Willcox, TW, Stone, P, Milsom, FP, et al. Cardiopulmonary bypass in pregnancy: Possible new role for the intra-aortic balloon pump. J Extra Corpor Technol 2005;37:189–91.Google Scholar
Silberman, S, Fink, D, Berko, RS, Mendzelevski, B, Bitran, D. Coronary artery bypass surgery during pregnancy. Eur J Cardio-Thorac Surg 1996;10:925–6.CrossRefGoogle ScholarPubMed
Klutstein, MW, Tzivoni, D, Bitran, D, et al. Treatment of spontaneous coronary artery dissection: Report of three cases. Cathet Cardiovasc Diagn 1997;40:372–6.Google Scholar
Aggarwal, N, Suri, V, Goyal, A, et al. Closed mitral valvotomy in pregnancy and labor. Int J Gynecol Obstet 2005;88:118–21.Google Scholar
Elkayam, U, Bitar, F. Valvular heart disease and pregnancy. Part I: Native valves. J Am Coll Cardiol 2005;46:223–30.Google Scholar
Steer, P. The epidemiology of preterm labour. BJOG 2005;112:1–3.Google Scholar
Esteves, CA, Munoz, JS, Braga, S, et al. Immediate and long-term follow-up of percutaneous balloon mitral valvuloplasty in pregnant patients with rheumatic mitral stenosis. Am J Cardiol 2006;98:812–16.Google Scholar
Sebastian, C, Scherlag, M, Kugelmass, A, et al. Primary stent implantation for acute myocardial infarction during pregnancy: Use of abciximab, ticlopidine and aspirin. Cathet Cardiovasc Diagn 1998;45:275–9.Google Scholar
Abello, M, Peinado, R, Merino, JL, et al. Cardioverter defibrillator implantation in a pregnant woman guided with transesophageal echocardiography. Pacing Clin Electrophysiol 2003;26:1913–14.Google Scholar
Natarajan, MK, Paul, N, Mercuri, M, et al. Canadian Cardiovascular Society position statement on radiation exposure from cardiac imaging and interventional procedures. Can J Cardiol 2013;29:1361–8.Google Scholar
Hirshfeld, JW, Balter, S, Brinker, JA, et al. ACCF/AHA/HRS/SCAI Clinical competence statement on physician knowledge to optimize patient safety and image quality in fluoroscopically guided invasive cardiovascular procedures. Circulation 2005;111:511–32.Google Scholar
Dauer, LT, Thornton, RH, Miller, DL, et al. Radiation management for interventions using fluoroscopic or computed tomographic guidance during pregnancy. J Vasc Interv Radiol 2012;23:19–32.Google Scholar
Colletti, PM, Lee, KH, Elkayam, U. Cardiovascular imaging of the pregnant patient. AJR 2013;200:515–21.Google Scholar
Damilakis, J, Theocharopoulos, N, Perisinakis, K, et al. Conceptus radiation dose and risk from cardiac catheter ablation procedures. Circulation 2001;104:893–7.Google Scholar
Myerson, SG, Mitchell, ARJ, Ormerod, OJM, et al. What is the role of balloon dilatation for severe aortic stenosis during pregnancy? J Heart Valve Dis 2005;14:147–50.Google Scholar
Saleh, MAAW, El Fiky, AA, Fahmy, M, et al. Use of biplane transesophageal echocardiography as the only imaging technique for percutaneous balloon mitral commissurotomy. Am J Cardiol 1996;78:103–6.Google Scholar
Antonelli, D, Bloch, L, Rosenfeld, T. Implantation of permanent dual chamber pacemaker in a pregnant woman by transesophageal echocardiographic guidance. Pacing Clin Electrophysiol 1999;22:534–5.CrossRefGoogle Scholar
Daehnert, I, Ewert, P, Berger, F, et al. Echocardiographically guided closure of a patent foramen ovale during pregnancy after recurrent strokes. J Interven Cardiol 2001;14:191–2.Google Scholar
Bulas, D, Egloff, A. Benefits and risks of MRI in pregnancy. Semin Perinatol 2013;37:301–4.Google Scholar
Patenaude, Y, Pugash, D, Lim, K, et al. The use of magnetic resonance imaging in the obstetric patient. J Obstet Gynaecol Can 2014;36:349–55.Google Scholar
Valverde, I, Hussain, T, Razavi, R. Novel imaging techniques for the diagnosis and treatment of congenital heart defects: MR-guided interventions and beyond. Future Cardiol 2012;8:149–52.Google Scholar
Roudijk, RW, Gujic, M, Suman-Horduna, I, et al. Catheter ablation in children and young adults: Is there an additional benefit from remote magnetic navigation? Neth Heart J 2012;21:296–303.CrossRefGoogle Scholar
Sharma, GL, Loubeyre, C, Morice, MC. Safety and feasibility of the radial approach for primary angioplasty in acute myocardial infarction during pregnancy. J Invasive Cardiol 2002;14:359–62.Google ScholarPubMed
Presbitero, P, Prever, SB, Brusca, A. Interventional cardiology in pregnancy. Eur Heart J 1996;17:182–8.CrossRefGoogle ScholarPubMed
Elkayam, U, Bitar, F. Valvular heart disease and pregnancy: Part II: Prosthetic valves. J Am Coll Cardiol 2005;46:403–10.Google Scholar
Tzemos, N, Silversides, CK, Colman, JM, et al. Late cardiac outcomes after pregnancy in women with congenital aortic stenosis. Am Heart J 2009;157:474–80.Google Scholar
Silversides, CK, Colman, JM, Sermer, M, et al. Cardiac risk in pregnant women with rheumatic mitral stenosis. Am J Cardiol 2003;91:1382–5.Google Scholar
Hameed, A, Karaalp, IS, Tummala, PP, et al. The effect of valvular heart disease on maternal and fetal outcome of pregnancy. J Am Coll Cardiol 2001;37:893–9.Google Scholar
de Souza, JA, Martinez, EE, Ambrose, JA, et al. Percutaneous balloon mitral valvuloplasty in comparison with open mitral valve commissurotomy for mitral stenosis during pregnancy. J Am Coll Cardiol 2001;37:900–3.CrossRefGoogle ScholarPubMed
Subbarao, KSVK, Nachiappan, M, Irineu, AP. Transventricular mitral commissurotomy in critical mitral stenosis during pregnancy. Asian Cardiovasc Thorac Ann 2004;12:233–5.Google Scholar
Iung, B, Nicoud-Houel, A, Fondard, O, et al. Temporal trends in percutaneous mitral commissurotomy over a 15-year period. Eur Heart J 2004;25:701–7.CrossRefGoogle Scholar
Delabays, A, Goy, JJ. Percutaneous mitral valvuloplasty. N Engl J Med 2001;345:e4.Google Scholar
Esteves, CA, Ramos, AIO, Braga, SLN, et al. Effectiveness of percutaneous balloon mitral valvotomy during pregnancy. Am J Cardiol 1991;68:930–4.Google Scholar
Pershad, A, Byrne, TJ, Morgan, JM, et al. Precipitous labor in association with percutaneous mitral valvuloplasty: Successful delivery in the catheterization laboratory. Cathet Cardiovasc Interv 2000;49:459–60.Google Scholar
Sivadasanpillai, H, Srinivasan, A, Sivasubramoniam, S, et al. Long-term outcome of patients undergoing balloon mitral valvotomy in pregnancy. Am J Cardiol 2005;95:1504–6.Google Scholar
Cheng, TO. Percutaneous mitral valvuloplasty by the Inoue balloon technique is the ideal procedure for treatment of significant mitral stenosis in pregnant women. Catheter Cardiovasc Interv 2000;57:323–4.Google Scholar
Siu, SC, Colman, JM. Heart disease and pregnancy. Heart 2001;85:710–15.Google Scholar
Dawson, J, Rodriguez, Y, De Marchena, E, et al. Aortic balloon valvuloplasty in pregnancy for symptomatic severe aortic stenosis. Int J Cardiol 2012;162:e12–e13.Google Scholar
Campbell, N, Rosaeg, OP, Chan, KL. Anaesthetic management of a parturient with pulmonary stenosis and aortic incompetence for caesarean section. Br J Anaesth 2003;90:241–3.CrossRefGoogle ScholarPubMed
Hameed, AB, Goodwin, TM, Elkayam, U. Effect of pulmonary stenosis on pregnancy outcomes. A case–control study. Am Heart J 2007;154:852–4.CrossRefGoogle ScholarPubMed
Lavoie, JP, Leduc, L, Mercier, LA. Embolic myocardial infarction in a pregnant woman with a mechanical heart valve on low molecular weight heparin. Can J Cardiol 2004;20:917–19.Google Scholar
Salazar, E, Espinola, N, Molina, FJ, et al. Heart surgery with cardiopulmonary bypass in pregnant women. Archivos Cardiol Mexico 2001;71:20–7.Google ScholarPubMed
Özkan, M, Çakal, B, Karakoyun, S, Gürsoy, OM, et al. Thrombolytic therapy for the treatment of prosthetic heart valve thrombosis in pregnancy with low-dose, slow infusion of tissue-type plasminogen activator. Circulation 2013;128:532–40.Google Scholar
Campuzano, K, Roque, H, Bolnick, A, et al. Bacterial endocarditis complicating pregnancy: Case report and systematic review of the literature. Arch Gynecol Obstet 2003;268:251–5.Google Scholar
American College of Obstetricians and Gynecologists. ACOG Practice Bulletin No. 120: Use of prophylactic antibiotics in labor and delivery. Obstet Gynecol 2011;117:1472–83.Google Scholar
Basak, S, Solomonsz, FA, Anumba, DO. Infective endocarditis affecting the pulmonary valve in pregnant intravenous drug users. J Obstet Gynecol 2011;31:78–80.Google Scholar
Weissmann-Brenner, A, Schoen, R, Divon, MY. Aortic dissection in pregnancy. Obstet Gynecol 2004;103:1110–13.Google Scholar
Johnston, C, Schroeder, F, Fletcher, SN, Bigham, C, et al. Type A aortic dissection in pregnancy. Int J Obstet Anesth 2012;21:75–9.Google Scholar
Immer, FF, Bansi, AG, Immer-Bansi, AS, et al. Aortic dissection in pregnancy: Analysis of risk factors and outcome. Ann Thorac Surg 2003;76:309–14.Google Scholar
Kay, WA, Cook, SC, Daniels, CJ. Evaluation by MRA of aortic dilation late after repair of tetralogy of Fallot. Int J Cardiol 2013;167:2922–7.Google Scholar
Beauchesne, LM, Connolly, HM, Ammash, NM, et al. Coarctation of the aorta: Outcome of pregnancy. J Am Coll Cardiol 2001;38:1728–33.Google Scholar
McDermott, CD, Sermer, M, Siu, SC, et al. Aortic dissection complicating pregnancy following prophylactic aortic root replacement in a woman with Marfan syndrome. Int J Cardiol 2007;120:427–30.Google Scholar
Siu, S, Colman, JM. Cardiovascular problems and pregnancy: An approach to management. Cleveland Clin J Med 2004;71:977–85.Google Scholar
Abbas, AE, Lester, SJ, Connolly, H. Pregnancy and the cardiovascular system. Int J Cardiol 2005;98:179–89.Google Scholar
Ladner, HE, Danielsen, B, Gilbert, WM. Acute myocardial infarction in pregnancy and the puerperium: A population-based study. Obstet Gynecol 2005;105:480–4.CrossRefGoogle ScholarPubMed
Roth, A, Elkayam, U. Acute myocardial infarction associated with pregnancy. Ann Intern Med 1996;125:751–62.Google Scholar
Elkayam, U, Jalnapurka, S, Barakkat, MN, et al. Pregnancy-associated acute myocardial infarction: A review of contemporary experience in 150 cases between 2006 and 2011. Circulation 2014;129:1695–702.Google Scholar
Hameed, AB, Tummala, PP, Godwin, TM, et al. Unstable angina during pregnancy in two patients with premature coronary atherosclerosis and aortic stenosis in association with familial hypercholesterolemia. Am J Obstet Gynecol 2000;182:1152–5.Google Scholar
Agostoni, P, Gasparini, G, Destro, G. Acute myocardial infarction probably caused by paradoxical embolus in a pregnant woman. Heart 2004;90:1–2.Google Scholar
European Society of Gynecology (ESG), Association for European Paediatric Cardiology (AEPC), German Society for Gender Medicine (DGesGM), et al. ESC Guidelines on the management of cardiovascular diseases during pregnancy: The Task Force on the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC). Eur Heart J 2011;32:3147–97.Google Scholar
Garry, D, Leikin, E, Fleisher, AG, et al. Acute myocardial infarction in pregnancy with subsequent medical and surgical management. Obstet Gynecol 1996;87:802–4.Google Scholar
Tang, ATM, Cusimano, RJ. Spontaneous coronary artery dissection complicating midterm pregnancy. Ann Thorac Surg 2004;78:e35.Google Scholar
Drenthen, W, Pieper, PG, Roos-Hesselink, JW, et al. Outcome of pregnancy in women with congenital heart disease: A literature review. J Am Coll Cardiol 2007;49:2303–11.Google Scholar
Veldtman, GR, Connolly, HM, Grogan, M, et al. Outcomes of pregnancy in women with tetralogy of Fallot. J Am Coll Cardiol 2004;44:174–80.Google Scholar
Krieger, EV, Landzberg, MJ, Economy, KE, et al. Comparison of risk of hypertensive complications of pregnancy among women with versus without coarctation of the aorta. Am J Cardiol 2011;107:1529–34.CrossRefGoogle ScholarPubMed
Assaidi, A, Sbragia, P, Fraisse, A. Transcatheter therapy for aortic coarctation with severe systemic hypertension during pregnancy. Cathet Cardiovasc Interv 2013;82:556–9.CrossRefGoogle ScholarPubMed
Ishikawa, T. Implantable cardioverter defibrillator therapy during pregnancy—is it safe and effective? Circ J 2013;77:1146–7.Google Scholar
Tuzcu, V, Kilinc, OU. Implantable cardioverter defibrillator implantation without using fluoroscopy in a pregnant patient. PACE 2012;35:e265–6.CrossRefGoogle ScholarPubMed
Ferguson, JD, Helms, A, Mangrum, M, et al. Ablation of incessant left atrial tachycardia without fluoroscopy in a pregnant woman. J Cardiovasc Electrophysiol 2011;22:346–9.Google Scholar
Szumowski, L, Szufladowicz, E, Orczykowski, M, et al. Ablation of severe drug-resistant tachyarrhythmia during pregnancy. J Cardiovasc Electrophysiol 2010;21:877–82.Google Scholar
Gupta, S, Ettles, DF, Robinson, GJ, et al. Inferior vena cava filter use in pregnancy: Preliminary experience. BJOG 2008;115:785–8.Google Scholar
Gevaert, S, Van Belleghem, Y, Bouchez, S, et al. Acute and critically ill peripartum cardiomyopathy and “bridge to” therapeutic options: a single center experience with intra-aortic balloon pump, extra corporeal membrane oxygenation and continuous-flow left ventricular assist devices. Critical Care 2011;15:R93.CrossRefGoogle ScholarPubMed
LaRue, S, Shanks, A, Wang, I, et al. Left ventricular assist device in pregnancy. Obstet Gynecol 2011;118:426–8.Google Scholar
Etz, C, Welp, H, Scheld, HH, et al. Near fatal infection of a patient with a left ventricular assist device due to unrecognized fetal death. Eur J Cardio-thorac Surg 2005;27:722–3.Google Scholar
Sim, SS, Chou, HC, Chen, JW, et al. Extracorporeal membrane oxygenation in maternal arrhythmic cardiogenic shock. Am J Emerg Med 2012;30:1012,e3–1012.e5.CrossRefGoogle ScholarPubMed
John, AS, Connolly, HM, Hartzell, V, et al. Management of cardiac myxoma during pregnancy: A case series and review of the literature. Int J Cardiol 2012;155:177–80.Google Scholar

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