
Management of Acute Aortic Infective Endocarditis in Pregnancy Pages 17-19
Marco Picichè1, Eric Charbonneau2 and Richard Baillot2
1Unità Operativa di Cardiochirurgia, Ospedale San Filippo Neri, Roma, Italy; 2Service de Chirurgie Cardiaque, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, Canada
DOI: http://dx.doi.org/10.12970/2311-052X.2013.01.01.4
Download PDFAbstract: The reported incidence of infective endocarditis during pregnancy is 0,006% and there are no accepted guidelines. Management is individually based according to gestational age and the status of the mother. A multidisciplinary approach is required. Cardiopulmonary bypass, hypothermia and hyperkalemia may be fatal for the foetus due to vasoconstrictive response of the uteroplacental arteries. Herein, we report a case of successful treatment of acute aortic endocarditis during the second trimester of gestation, with a focus on timing of surgery and technical aspects.
Keywords: Pregnancy, valve, endocarditis, cardiopulmonary bypass. Read more