Abstract
Over the past 25 years the incidence of heart disease during pregnancy has declined from 3.6% to approximatel, 1.6% (Fig. 113–1).1–8 Rheumatic heart disease accounts for most cases. The number of pregnant patients with congenital heart disease has been increasing because women with congenital heart defects now reach childbearing age as a result of improvements in medical and surgical therapy. 2,5,9
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Ueland K: Cardiovascular diseases complicating pregnancy. Clin Obstet Gynecol 21: 429–442, 1978
Szekely P, Snaith L: Heart Disease and Pregnancy. London, Churchill Livingston, 1974, p 149
Barnes CG: Medical Disorders in Obstetrics Practice, ed 3. Oxford, Blackwell, 1970, p 11
Mendelson CL: Heart disease and pregnancy. Clin Obstet Gynecol 4: 603–629, 1 961
Mendelson CL, Metcalfe J: Cardiac Disease and Pregnancy. Philadelphia, FA Davis, 1960
Burwell CS, Metcalfe J: Heart Disease and Pregnancy. Boston, Little, Brown, 1958, pp 210, 217, 220
Niswander K, Berendes H, Deutschbeger J, et al: Fetal mortality following potential anoxigenic conditions. Am J Obstet Gyneco198: 871–876, 1967
Szekely P, Snaith L: Atrial fibrillation and pregnancy. Br Med J 1: 1407–1410, 1961
Cannell DE, Vernon CP: Congenital heart disease and pregnancy. Am J Obstet Gyneco1 85: 744–753, 1963
Palahniuk RJ, Shnider SM, Eger El II: Pregnancy decreases the requirement for inhaled anesthetic agents. Anesthesiology 41: 82–83, 1974
Zitnik KS, Brandenburg R0, Sheldon R, et al: Pregnancy and open heart surgery. Circulation 39 (Suppl) 1: 257–262, 1969
Koh KS, Friesen RM, Livingstone RA, et al: Fetal monitoring during maternal cardiac surgery with cardiopulmonary by-pass. Can Med Assoc J 112: 110–1104, 1975
Werch A, Lambert HM: Fetal monitoring and maternal open heart surgery. South Med J 70: 1024, 1977
Trimakas AP, Maxwell KD, Berkay S, et al: Fetal monitoring during cardiopulmonary bypass for removal of a left atrial myxoma during pregnancy. Johns Hopkins Med J 144: 156–160, 1979
Eilen B, Kaiser IH, Becker RM, et al: Aortic valve replacement in the third trimester of pregnancy: Case report and review of the literature. Obstet Gynecol 57: 119–121, 1981
Lamb MP, Ross K, Johnstone AM, et al: Fetal heart monitoring during open heart surgery. Two case reports. Br J Obstet Gynaecol 88: 669–674, 1981
Katz JD, Hook R, Barash PG: Fetal heart rate monitoring in pregnant patients undergoing surgery. Am J Obstet Gynecol 125: 267–269, 1976
Levy DL, Warriner RA, Burgess GE: Fetal response to cardiopulmonary bypass. Obstet Gynecol 56: 112–115, 1980
Page PA, Toung T: A new probe for measurement of muscle P02 and its use during cardiopulmonary bypass surgery. Gynecol Obstet 141: 579–581, 1975
Meffert WG, Stansel HC: Open heart surgery during pregnancy. Am J Obstet Gynecol 102: 1116–1120, 1968
Levinson G, Shnider SM: Vasopressors in obstetrics. Clin Anesth 10: 77–109, 1974
Greiss FC, Pick JR: The uterine vascular bed: Adrenergic receptors. Obstet Gynecol 23: 209–213, 1964
Greiss FC, Crandell DL: Therapy for hypotension induced by spinal anesthesia during pregnancy. JAMA 191: 793–796, 1965
Cibils LA, Pose SV, Zuspan FP: Effect of l-norepinephrine infusion on uterine contractility and the cardiovascular sys-tem. Am J Obstet Gyneco184: 307–317, 1962
James FM III, Greiss FC, Kemp RA: An evaluation of vas-opressor therapy for maternal hypotension during spinal anesthesia. Anesthesiology 33: 25–34, 1970
Shnider SM, deLorimier AA, Holl JW, et al: Vasopressors in obstetrics. I. Correction of fetal acidosis with ephedrine during spinal hypotension. Am J Obstet Gynecol 102: 911–919, 1968
Kaiser IH, Harris JS: The effect of adrenalin on the pregnant human uterus. Am J Obstet Gyneco1 59: 775-–84,1950
Rolbin SH, Levinson G, Shnider SM, et al: Dopamine treatment of spinal hypotension decreases uterine blood flow in the pregnant ewe. Anesthesiology 51: 37–40, 1979
Blanchard K, Dandavino A, Nuwayhid B, et al: Systemic and uterine hemodynamic responses to dopamine in pregnant and non-pregnant sheep. Am J Obstet Gynecol 130: 669–673, 1978
Callender K, Levinson G, Shnider SM, et al: Dopamine ad-ministration in the normotensive pregnant ewe. Obstet Gynecol 51: 586–589, 1978
Kresnow N, Rolett EL, Yurchak PM, et al: Isoproterenol and cardiovascular performance. Am J Med 37: 514–525, 1964
Mahon WA, Reid DWJ, Day RA: The in vivo effects of beta adrenergic stimulation and blockade on the human uterus at term. J Pharmacol Exp Ther 156: 178–185, 1967
Schlant RC, Tsagaris TS, Robertson RJ Jr: Studies on the acute cardiovascular effects of intravenous sodium nitroprusside. Am J Cardiol 9: 51–59, 1962
Styles MB, Coleman AJ, Leary WP: Some hemodynamic effects of sodium nitroprusside. Anesthesiology 38: 173–176, 1973
Ross G, Cole PV: Cardiovascular actions of sodium nitro-prusside in dogs. Anesthesia 28: 400–406, 1973
Ring G, Krames E, Shnider SM, et al: Comparison of nitro-prusside and hydralazine in hypertensive pregnant ewes. Obstet Gynecol 50: 598–602, 1977
Naulty JS, Cefalo R, Rodkey FL: Placental transfer and fetal toxicity of sodium nitroprusside, in: Abstracts of Scientific Papers, Annual Meeting. San Francisco, American Society of Anesthesiologists, 1976, p 543
Brinkman CR III, Assali NS: Uteroplacental hemodynamic response to antihypertensive drugs in hypertensive pregnant sheep, in Linderheimer MD, Katz AL, Zuspan FP (eds): Hypertension in Pregnancy. New York, John Wiley & Sons, 1976, pp 363–375
Nazarian M, McCullough G, Fielder D, et al: Bacterial endocarditis in pregnancy. J Thorac Cardiovasc Surg 71: 880–883, 1976
Rowbotham GF, Bell K, Akenhead J, et al: A serious head injury in a pregnant women treated by hypothermia. Lancet 1: 1016–1019, 1957
Shnider SM, Webster GM: Maternal and fetal hazards of surgery during pregnancy. Am J Obstet Gynecol 92: 891–900, 1965
Smith BE: Fetal prognosis after anesthesia during gestation. Anesth Analg 42: 521–526, 1963
Lloyd TS: The safety of surgical operations during pregnan-cy. South Med J 58: 179–184, 1965
Ueland K: Cardiac surgery in pregnancy. Am J Obstet Gynecol 92: 148–162, 1965
Jacobs WM, Cooley D, Goen GP: Cardiac surgery with extracorporeal circulation during pregnancy. Report of three cases. Obstet Gynecol 24: 167–169, 1965
Khazin AF, Hon EH, Hehre FW: Effects of maternal hyperoxia on the fetus. I. Oxygen tension. Am J Obstet Gynecol 109: 628–637, 1971
Walker A, Madderin L, Day E, et al: Fetal scalp tissue oxygen measurements in relation to maternal dermal oxygen tension and fetal heart rate. J Obstet Gynaecol Br Commonw 78: 1–12, 1971
Marx GF, Mateo CV: Effects of different oxygen concentration during general anesthesia for elective cesarean section. Can Anaesth Soc J 18: 587–593, 1971
Motoyama EK, Rivard G, Acheson F, et al: The effects of changes in maternal pH and PC02 on the Pot of fetal lambs. Anesthesiology 28: 891–903, 1967
Levine W, Diamond B: Surgical procedures during pregnancy. Am J Obstet Gynecol 81: 1046–1052, 1961
Bronstein ES, Friedman M: Acute appendicitis in pregnancy. Am J Obstet Gynecol 86: 514–516, 1963
Bassett JW: Appendicitis in pregnancy. Am J Obstet Gynecol 82: 828–832, 1961
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1985 Plenum Publishing Corporation
About this chapter
Cite this chapter
Abboud, T.K., Viljoen, J.F. (1985). Anesthesia for Cardiac Surgery during Pregnancy. In: Gleicher, N. (eds) Principles of Medical Therapy in Pregnancy. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2415-7_113
Download citation
DOI: https://doi.org/10.1007/978-1-4613-2415-7_113
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4612-9471-9
Online ISBN: 978-1-4613-2415-7
eBook Packages: Springer Book Archive