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Research Article| Volume 159, ISSUE 1, P91-94, November 2011

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Surgical management of valvular heart diseases in pregnancy

  • Author Footnotes
    1 Institutional address: Department of Obstetrics and Gynecology, The Aga Khan University, Stadium Road, P.O. Box 3500, Karachi, Pakistan. Tel.: +92 21 4930051x4606; fax: +92 21 4934294.
    Asif Jafferani
    Correspondence
    Corresponding author at: Class of 2011, MBBS Program, The Aga Khan University, B-4, Al-Qahir Apt., Violet Street, Garden East, Karachi 74550, Pakistan. Tel.: +92 302 2320475.
    Footnotes
    1 Institutional address: Department of Obstetrics and Gynecology, The Aga Khan University, Stadium Road, P.O. Box 3500, Karachi, Pakistan. Tel.: +92 21 4930051x4606; fax: +92 21 4934294.
    Affiliations
    MBBS Program, The Aga Khan University, Karachi, Pakistan
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  • Ayesha Malik
    Affiliations
    Department of Obstetrics and Gynecology, The Aga Khan University, Karachi, Pakistan
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  • Ranish Deedar Ali Khawaja
    Affiliations
    MBBS Program, The Aga Khan University, Karachi, Pakistan
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  • Lumaan Sheikh
    Affiliations
    Department of Obstetrics and Gynecology, The Aga Khan University, Karachi, Pakistan
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  • Hasanat Sharif
    Affiliations
    Section of Cardiothoracic Surgery, Department of Surgery, The Aga Khan University, Karachi, Pakistan
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  • Author Footnotes
    1 Institutional address: Department of Obstetrics and Gynecology, The Aga Khan University, Stadium Road, P.O. Box 3500, Karachi, Pakistan. Tel.: +92 21 4930051x4606; fax: +92 21 4934294.

      Abstract

      Heart disease in pregnancy remains one of the important causes for maternal and fetal mortality and morbidity. Cardiac surgery undertaken in pregnancy presents specific additional issues for both the mother and fetus; especially cardiopulmonary bypass and the factors associated with it. Successful outcome of cardiopulmonary bypass surgery during pregnancy depends upon the multidisciplinary management of the patient, which is frequently under reported from the developing world. We present our experience of two cases where cardiopulmonary bypass surgery for cardiac valve replacement was successfully performed during pregnancy without any maternal or fetal mortality. A review of published literature is also undertaken in order to present evidence based recommendations for undertaking such procedures in pregnancy.

      Keywords

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