Document Detail

Anesthesia for pregnant women with valvular heart disease: the state-of-the-art.
MedLine Citation:
PMID:  17458655     Owner:  NLM     Status:  MEDLINE    
Pregnancy results in dramatic changes in the cardiovascular system. Maternal heart disease complicates 0.2%-3% of pregnancies. Valvular heart disease in women of reproductive age is most commonly due to rheumatic heart disease, endocarditis, or congenital abnormalities. In general, regurgitant lesions are well tolerated during pregnancy because the increased plasma volume and lowered systemic vascular resistance result in increased cardiac output. In contrast, stenotic valvular disease is poorly tolerated with advancing pregnancy, owing to the inability to increase cardiac output in relation to the increased plasma volume preload. The choice of anesthesia depends on the lesion and its severity. Usually, regional anesthesia provides the least amount of alteration in hemodynamics, although general anesthesia for cesarean section can be equally safe when the abrupt changes associated with laryngoscopy, intubation, and extubation are blunted by the appropriate choice of pharmacological agents and anesthetic techniques.
Krzysztof M Kuczkowski; André van Zundert
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Publication Detail:
Type:  Journal Article; Review     Date:  2007-05-30
Journal Detail:
Title:  Journal of anesthesia     Volume:  21     ISSN:  0913-8668     ISO Abbreviation:  J Anesth     Publication Date:  2007  
Date Detail:
Created Date:  2007-04-26     Completed Date:  2007-08-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8905667     Medline TA:  J Anesth     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  252-7     Citation Subset:  IM    
Department of Anesthesiology, University of California, San Diego, San Diego, California, USA.
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MeSH Terms
Anesthesia / methods*
Aortic Valve Stenosis / surgery
Heart Valve Diseases / surgery*
Heart Valve Prosthesis Implantation
Mitral Valve Insufficiency / surgery
Mitral Valve Stenosis / surgery
Postnatal Care
Pregnancy Complications, Cardiovascular / surgery*
Prenatal Care

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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