| Emergency tricuspid valve replacement during pregnancy. | |
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MedLine Citation:
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PMID: 20868968 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 36 year-old intravenous drug user at 19 weeks' gestation required emergency tricuspid valve replacement for severe tricuspid regurgitation and cardiogenic shock refractory to medical therapy. Normothermic, pulsatile, high-flow, and pressure cardiopulmonary bypass (CPB) was used in the absence of fetal monitoring. Ten days postoperatively, the patient miscarried. She was discharged from hospital two months following surgery. High-flow (> 3.0 L/min(2)), high-pressure (> 70 mmHg), normothermic CPB using pulsatile flow and blood cardioplegia is thought to offer the best outcome to the fetus, although data to support these claims are not compelling. |
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Authors:
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James W Price; Matt Klas |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of clinical anesthesia Volume: 22 ISSN: 1873-4529 ISO Abbreviation: J Clin Anesth Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-09-27 Completed Date: 2011-01-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8812166 Medline TA: J Clin Anesth Country: United States |
Other Details:
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Languages: eng Pagination: 454-9 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Anesthesiology, Pharmacology and Therapeutics, Vancouver General Hospital, University of British Columbia, Vancouver, BC V5Z 4E3, Canada. wallacep@interchange.ubc.ca |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abortion, Spontaneous Cardiopulmonary Bypass / methods Female Heart Valve Prosthesis Implantation / methods Humans Pregnancy Pregnancy Complications, Cardiovascular / surgery* Shock, Cardiogenic / complications, surgery* Substance Abuse, Intravenous / complications Tricuspid Valve Insufficiency / complications, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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