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Ann Thorac Surg 1993;55:1172-1174
© 1993 The Society of Thoracic Surgeons

Articles

Intracardiac operation in seven pregnant women

Gawie J. Rossouw, FCS(Thor)*, Christopher J. Knott-Craig, MMed(Thor), Pieter M. Barnard, MD, Leroi A. Macgregor, MMed(Thor), Wynand P. Van Zyl, MMed(Thor)

Department of Cardiothoracic Surgery, Tygerberg Hospital, University of Stellenbosch, Tygerberg, South Africa

Accepted for publication August 21, 1992.

* Address reprint requests to Dr Rossouw, Department of Cardiothoracic Surgery, Tygerberg Hospital, University of Stellenbosch, PO Box 19063, Tygerberg 7505, South Africa.

The outcome of open heart operations on pregnant women is not well documented. Between March 1985 and October 1988, 7 pregnant patients underwent valve replacement at Tygerberg Hospital. This included three redo operations and one double-valve replacement. The range of perfusion temperatures used during cardiopulmonary bypass was 28 ° to 33 °C with aortic cross-clamp times of 53 to 121 minutes. One baby was stillborn, but the others were normally delivered at full term, and all the mothers survived. The stillborn baby was lost after the shortest procedure at the highest temperature during cardiopulmonary bypass.




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