Pregnancy and Valvular Heart Disease

2005 ◽  
Vol 6 (1) ◽  
pp. 7 ◽  
Author(s):  
Jacob DeLaRosa ◽  
Erez Sharoni ◽  
Robert A. Guyton
Keyword(s):  
Decision Making ◽  
Cardiac Surgery ◽  
Heart Disease ◽  
Mortality Rate ◽  
Pregnant Women ◽  
Valvular Heart Disease ◽  
Medical Management ◽  
Relative Rate ◽  
Fetal Mortality ◽  
First Line

Heart disease can affect anyone at any time, and pregnant women are not exceptions. Some type of cardiac pathologic disease can be seen in 1% to 2% of all pregnant women. Because of the high fetal mortality rate and the high relative rate of maternal mortality in surgery, medical management is the first line of treatment. Nevertheless, when medical treatment fails, cardiac surgery may be necessary. Here we present such a case of cardiac valvular disease complicated by pregnancy. Current decision-making, treatment, and trends are reviewed.

scholarly journals ADVERSE CARDIOVASCULAR AND OBSTETRIC DELIVERY COMPLICATIONS IN PREGNANT WOMEN WITH VALVULAR HEART DISEASE

2021 ◽  
Vol 77 (18) ◽  
pp. 3389
Author(s):  
Anum Minhas ◽  
Faisal Rahman ◽  
Nicole Gavin ◽  
Ari Cedars ◽  
Arthur Vaught ◽  
...  
Keyword(s):  
Heart Disease ◽  
Pregnant Women ◽  
Valvular Heart Disease ◽  
Obstetric Delivery ◽  
Delivery Complications

Cardiovascular and Obstetric Delivery Complications in Pregnant Women With Valvular Heart Disease

2021 ◽  
Author(s):  
Anum S Minhas ◽  
Faisal Rahman ◽  
Nicole Gavin ◽  
Ari Cedars ◽  
Arthur Jason Vaught ◽  
...  
Keyword(s):  
Heart Disease ◽  
Pregnant Women ◽  
Valvular Heart Disease ◽  
Obstetric Delivery ◽  
Delivery Complications

scholarly journals Cardiac surgery and percutaneous intervention in pregnant women with heart disease

2012 ◽  
Vol 20 (3) ◽  
pp. 125-128 ◽  
Author(s):  
P. G. Pieper ◽  
E. S. Hoendermis ◽  
Y. N. Drijver
Keyword(s):  
Cardiac Surgery ◽  
Heart Disease ◽  
Pregnant Women ◽  
Percutaneous Intervention

scholarly journals Heart failure requiring hospitalization in patients after cardiac surgery for valvular heart disease

2019 ◽  
Vol 26 (2) ◽  
pp. 57-62
Author(s):  
A. V. Zhadan
Keyword(s):  
Heart Failure ◽  
Cardiac Surgery ◽  
Heart Disease ◽  
Valvular Heart Disease ◽  
Heart Valves ◽  
Reverse Remodeling ◽  
Damage Indicators ◽  
Heart Pathology ◽  
Permanent Form

The aim – to determine the factors associated with the frequency of hospitalizations for decompensation of heart failure (HF) after cardiac surgery in patients with valvular heart disease. Materials and methods. 235 patients who underwent cardiac surgery for valvular heart disease were examined. During the period from 2014 to 2017, a part of patients (129 people) had no hospitalizations, while 106 people were on inpatient treatment from 1 to 10 times, on average 2.78±1.95. The complex of examination of patients along with physical examination included electrocardiography, echocardiography. Results and discussion. During dynamic observation for 2 years in the group of patients without hospitalization, a progressive statistically significant decrease in the size of the left atrium (LA) and left ventricle (LV) as well as an increase in LV contractility were noted, while in the group of patients after hospitalization such changes were not observed. The dimensions of the chambers of the heart remained practically unchanged for 2 years. Thus, it can be concluded that the more severe course of heart failure after prosthetics of heart valves is accompanied by the absence of reverse remodeling of the heart chambers. Predictors of hospitalizations for HF are the presence of diabetes mellitus, hypertension and permanent form of atrial fibrillation. Conclusions. The probability of progression of heart failure in patients after cardiosurgical intervention for valvular heart pathology is not affected by sex, age, type of lesion of the valve, etiology of valve damage, indicators of echocardiography. Predictors of hospitalizations for heart faiure in the long-term postoperative period are the presence of diabetes, AF, and AH. The more severe course of heart failure after prosthetics of heart valves is accompanied by the absence of reverse remodeling of the heart chambers.

Access to paediatric cardiac surgery in Colombia: a population-based study

2021 ◽  
Author(s):  
Marlena E Sabatino ◽  
Rodolfo J Dennis ◽  
Pablo Sandoval-Trujillo ◽  
Sergio Valencia ◽  
Karen Moreno-Medina ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Heart Disease ◽  
Mortality Rate ◽  
Health System ◽  
Latin American ◽  
Perioperative Mortality ◽  
National Team ◽  
Paediatric Cardiac Surgery ◽  
Latin American Region ◽  
The Impact

Abstract OBJECTIVES Globally congenital heart disease mortality is declining, yet the proportion of infant deaths attributable to heart disease rises in Colombia and other middle-sociodemographic countries. We aimed to assess the accessibility of paediatric cardiac surgery (PCS) to children <18 years of age in 2016 in the South American country of Colombia. METHODS In Bogotá, Colombia, a multi-national team used cross-sectional and retrospective cohort study designs to adapt and evaluate 4 health system indicators at the national level: first, the population with timely geographic access to an institution providing PCS; second, the number of paediatric cardiac surgeons; third, this specialized procedure volume and its national distribution; and fourth, the 30-day perioperative mortality rate after PCS in Colombia. RESULTS Geospatial mapping approximates 64% (n = 9 894 356) of the under-18 Colombian population lives within 2-h drivetime of an institution providing PCS. Twenty-eight cardiovascular surgeons report performing PCS, 82% (n = 23) with formal training. In 2016, 1281 PCS procedures were registered, 90% of whom were performed in 6 of the country’s 32 departments. National non-risk-adjusted all-cause 30-day perioperative mortality rate after PCS was 2.73% (n = 35). CONCLUSIONS Colombia’s paediatric population had variable access to cardiac surgery in 2016, largely dependent upon geography. While the country may have the capacity to provide timely, high-quality care to those who need it, our study enables future comparative analyses to measure the impact of health system interventions facilitating healthcare equity for the underserved populations across Colombia and the Latin American region.

scholarly journals Surgical Decision-Making in Multivalvular Heart Disease: A Holistic Approach

2020 ◽  
Vol 04 (01) ◽  
pp. 66-69
Author(s):  
Neeti Makhija ◽  
Rohit Malhotra ◽  
Rohan Magoon ◽  
Pradeep Ramakrishnan
Keyword(s):  
Decision Making ◽  
Heart Disease ◽  
Antiretroviral Therapy ◽  
Valve Replacement ◽  
Valvular Heart Disease ◽  
Holistic Approach ◽  
Postoperative Outcomes ◽  
Unique Challenge ◽  
Surgical Decision ◽  
Surgical Decision Making

AbstractPatients with multivalvular heart disease often presents a unique challenge with regard to the intraoperative decision-making in the form of choosing between a satisfactory valvular repair or a more definitive valve replacement. We describe a patient with multivalve involvement on antiretroviral therapy. Discussion presents a nuanced perspective on surgical decision-making in multi-valvular heart disease, wherein an effective communication between the surgeon and the echocardiographer is required for ensuring favorable postoperative outcomes.

scholarly journals Prevalence and patterns of coronary artery disease in patients undergoing cardiac surgery for rheumatic and non- rheumatic valvular heart disease in a tertiary care center of Nepal

2018 ◽  
Vol 15 (2) ◽  
pp. 21-24
Author(s):  
Ravi Sahi ◽  
Arun Sayami ◽  
Ratna Mani Gajurel ◽  
Chandra Mani Poudel ◽  
Hemant Shrestha ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Cardiac Surgery ◽  
Heart Disease ◽  
Coronary Artery ◽  
Valvular Heart Disease ◽  
Tertiary Care ◽  
Vessel Disease ◽  
Cardiovascular Morbidity And Mortality ◽  
Valvular Heart Diseases ◽  
Artery Disease

Background and Aims: Coronary artery disease (CAD) constitute a major cause of cardiovascular morbidity and mortality worldwide with an enormous burden on healthcare resources. Prevalence and pattern of CAD in patients of rheumatic and non-rhemuatic valvular heart diseases varies widely with limited data on optimal strategies for diagnosis and treatment.Methods: This study includes 97 patients with rheumatic and non-rheumatic valvular heart disease who underwent coronary angiogram (CAG) before cardiac surgery. Patients were divided into two groups based on rheumatic heart disease (RHD) & non-rheumatic disease (Non-RHD) and correlate the patterns of CAD.Results: Out of 97 patients, 22 (22.6%) patients were found to have significant CAD. In patients with non-rheumatic origin CAD was common (15 patients, 68.1%) as compared to rheumatic origin (7 patients, 31. 8%). In rheumatic origin, the prevalence was 7(12.2%) out of 57 patients while in non-rheumatic origin, was 15(37.5%) out of 40 patients. In RHD group, all patients with CAD were found to have single vessel diease (SVD) while, in non-RHD group, 11 patients (73.3%) had SVD, 3 patients (16.7%) had double vessel disease (DVD) and one patient (5.6%) had triple vessel disease (TVD).Conclusions: Prevalence of CAD is higher in patients with non-RHD in comparison to those with RHD. We also found SVD to be the most common pattern of CAD in both rheumatic and non-rheumatic valvular heart disease.

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