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Ann Thorac Surg 2002;74:243-245
© 2002 The Society of Thoracic Surgeons

Case report

Homograft aortic root replacement during pregnancy

Kapil Gopal, MDa,b,c,d,e, Ida M. Hudson, DOa,b,c,d,e, Jack Ludmir, MDa,b,c,d,e, Michael N. Braffmana,b,c,d,e, Stanley Ewing, MDa,b,c,d,e, Joseph E. Bavaria, MDa,b,c,d,e, Kar-Lai Wong, MDa,b,c,d,e, Charles R. Bridges, MD, ScD*a,b,c,d,e

a Department of Surgery, Division of Cardiothoracic Surgery, Pennsylvania Hospital, Philadelphia, Pennsylvania, USA
b Department of Medicine, Pennsylvania Hospital, Philadelphia, Pennsylvania, USA
c Department of Anesthesiology, Pennsylvania Hospital, Philadelphia, Pennsylvania, USA
d Department of Obstetrics and Gynecology, Pennsylvania Hospital, Philadelphia, Pennsylvania, USA
e Division of Pediatric Cardiology, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA

Accepted for publication December 17, 2001.

* Address reprint requests to Dr Bridges, Division of Cardiothoracic Surgery, Pennsylvania Hospital, The Farm Journal Building, 230 W Washington Square, 3rd Floor, Philadelphia, PA 19106 USA
e-mail: cbridges{at}mail.med.upenn.edu

Operative cardiac interventions have been performed on pregnant women with varying degrees of success since the late 1950s. Currently, reported maternal mortality for cardiac operations is similar to the mortality rate for nonpregnant female patients. However, fetal mortality remains high, at approximately 20%. Aortic root replacement with an aortic homograft in a 34-year-old pregnant woman with bacterial endocarditis at 18 weeks gestation is presented. Fetal echocardiography during and after bypass was employed.




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