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Chapter 6 - Arterial Vascular Diseases

Published online by Cambridge University Press:  26 January 2024

By
Ethan Jackson ,
Anitra Romfh ,
Yon K. Sung  and
Natalie J. Bodmer
Edited by
David R. Gambling ,
M. Joanne Douglas  and
Grace Lim
David R. Gambling
Affiliation:
University of California, San Diego
M. Joanne Douglas
Affiliation:
University of British Columbia, Vancouver
Grace Lim
Affiliation:
University of Pittsburgh
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Summary

This chapter reviews the physiologic changes of pregnancy and how they relate specifically to major arterial vascular diseases – namely, thoracic aortopathies, pulmonary hypertension, and splenic artery aneurysms. It summarizes the key management strategies throughout preconception, pregnancy, intra-partum, and post-partum stages.

Keywords

Physiology of pregnancythoracic aortic aneurysmsthoracic aortic dissectionschronic hypertensionpreeclampsiagestational hypertensionbicuspid aortic valveaortic coarctationMarfan syndromeLoeys-Dietz syndromeEhlers-Danlos SyndromeTurner syndromepulmonary hypertensionEisenmenger syndromesplenic artery aneurysm
Type
Chapter
Information
Obstetric Anesthesia and Uncommon Disorders , pp. 64 - 78
Publisher: Cambridge University Press
Print publication year: 2024

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References

References

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1. Lankford, AS, Chow JH, Jackson AM, et al. Clinical outcomes of pregnant and postpartum extracorporeal membrane oxygenation patients. Anesth Analg 2021; 132:777–787.Google Scholar
2. Agerstrand C, Abrams D, Biscotti M. Extracorporeal membrane oxygenation for cardiopulmonary failure during pregnancy and postpartum. Ann Thorac Surg 2016; 102:774–9.Google Scholar
3. Moore SA, Dietl CA, Coleman DM. Extracorporeal life support during pregnancy. J Thorac Cardiovasc Surg 2016;151:1154–60.Google Scholar
4. Biderman P, Carmi U, Setton E. Maternal salvage with extracorporeal life support: Lessons learned in a single center. Anesth Analg 2017; 125:1275–1280.Google Scholar
5. Sharma NS, Wille KM, Bellot SC, et al. Modern use of extracorporeal life support in pregnancy and postpartum. ASAIO 2015; 61:110–114.Google Scholar
6. Naoum EE, Chalupka A, Haft J. Extracorporeal life support in pregnancy: A systemic review. J Am Heart Assoc 2020; 913:e016072.Google Scholar
7. Kapur NK, Esposito ML, Bader Y, et al. Mechanical circulatory support devices for acute right ventricular failure. Circulation 2017; 136:314–326.Google Scholar
1. Lankford, AS, Chow JH, Jackson AM, et al. Clinical outcomes of pregnant and postpartum extracorporeal membrane oxygenation patients. Anesth Analg 2021; 132:777–787.Google Scholar
2. Agerstrand C, Abrams D, Biscotti M. Extracorporeal membrane oxygenation for cardiopulmonary failure during pregnancy and postpartum. Ann Thorac Surg 2016; 102:774–9.Google Scholar
3. Moore SA, Dietl CA, Coleman DM. Extracorporeal life support during pregnancy. J Thorac Cardiovasc Surg 2016;151:1154–60.Google Scholar
4. Biderman P, Carmi U, Setton E. Maternal salvage with extracorporeal life support: Lessons learned in a single center. Anesth Analg 2017; 125:1275–1280.Google Scholar
5. Sharma NS, Wille KM, Bellot SC, et al. Modern use of extracorporeal life support in pregnancy and postpartum. ASAIO 2015; 61:110–114.Google Scholar
6. Naoum EE, Chalupka A, Haft J. Extracorporeal life support in pregnancy: A systemic review. J Am Heart Assoc 2020; 913:e016072.Google Scholar
7. Kapur NK, Esposito ML, Bader Y, et al. Mechanical circulatory support devices for acute right ventricular failure. Circulation 2017; 136:314–326.Google Scholar

Additional Reading on VA ECMO

1. Lankford, AS, Chow JH, Jackson AM, et al. Clinical outcomes of pregnant and postpartum extracorporeal membrane oxygenation patients. Anesth Analg 2021; 132:777–787.Google Scholar
2. Agerstrand C, Abrams D, Biscotti M. Extracorporeal membrane oxygenation for cardiopulmonary failure during pregnancy and postpartum. Ann Thorac Surg 2016; 102:774–9.Google Scholar
3. Moore SA, Dietl CA, Coleman DM. Extracorporeal life support during pregnancy. J Thorac Cardiovasc Surg 2016;151:1154–60.Google Scholar
4. Biderman P, Carmi U, Setton E. Maternal salvage with extracorporeal life support: Lessons learned in a single center. Anesth Analg 2017; 125:1275–1280.Google Scholar
5. Sharma NS, Wille KM, Bellot SC, et al. Modern use of extracorporeal life support in pregnancy and postpartum. ASAIO 2015; 61:110–114.Google Scholar
6. Naoum EE, Chalupka A, Haft J. Extracorporeal life support in pregnancy: A systemic review. J Am Heart Assoc 2020; 913:e016072.Google Scholar
7. Kapur NK, Esposito ML, Bader Y, et al. Mechanical circulatory support devices for acute right ventricular failure. Circulation 2017; 136:314–326.Google Scholar

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