Management of Acute Aortic Infective Endocarditis in Pregnancy

Authors

  • Marco Picichè Unità Operativa di Cardiochirurgia, Ospedale San Filippo Neri, Roma, Italy
  • Eric Charbonneau Service de Chirurgie Cardiaque, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, Canada
  • Richard Baillot Service de Chirurgie Cardiaque, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, Canada

DOI:

https://doi.org/10.12970/2311-052X.2013.01.01.4

Keywords:

Pregnancy, valve, endocarditis, cardiopulmonary bypass

Abstract

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.

References

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Published

2013-02-02

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