Aortic valve replacement with extracorporeal circulation in a pregnant woman. Apropos of a case
Christides, C.; Collet, D.; Laskar, M.; Aubard, Y.; Bensaid, J.; Baudet, J.
Annales de Chirurgie 43(2): 90-93
1989
ISSN/ISBN: 0003-3944 PMID: 2653167 Document Number: 327594
The authors report a case of surgical treatment of aortic stenosis in a pregnant woman (first pregnancy after four years treatment of sterility). The aortic valve replacement was performed at 16 weeks of amenorrhea. The valve was replaced by an Ionescu-Shiley bioprosthesis. Delivery was performed by caesarean section after 39 weeks of amenorrhea. There was no complication either for the mother or the child. Review of the literature allows analysis of the influence of aortic stenosis on pregnancy, and of the pregnancy on the tolerance of aortic stenosis. Some aspects of cardiopulmonary bypass for valve replacement in pregnant women are also analysed.