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Ann Thorac Surg 1999;67:1169-1171
© 1999 The Society of Thoracic Surgeons

Case Reports

The use of pulsatile perfusion during aortic valve replacement in pregnancy

Henry F. Tripp, MDa, Robert M. Stiegel, MDb, Joseph P. Coyle, MDa,b

a Cardiothoracic Surgery, Brooke Army Medical Center, Fort Sam Houston, Texas, USA
b Carolinas Heart Institute, Carolinas Medical Center, Charlotte, North Carolina, USA

Accepted for publication October 5, 1998.

Address reprint requests to Dr Stiegel, Carolinas Heart Institute, 1000 Blythe Blvd, Charlotte, NC 28203

Cardiac operations are occasionally required during pregnancy. Despite a low maternal mortality, fetal mortality remains high. Previous reports have suggested maintenance of high perfusion pressure and flow rate as protective measures to maintain fetal viability. Recent experimental data suggest pulsatile perfusion may help preserve placental hemodynamic function. The successful use of pulsatile bypass to replace the aortic valve in a 25-year-old female at 14 weeks gestation, with both maternal and fetal survival, is presented.




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[Abstract] [PDF]


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