Off Pump Coronary Artery Bypass Surgery for Multivessel Disease in Pregnancy
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- Nwiloh Jonathan O.
- Department of Surgery, Atlanta Medical Center, Atlanta, GA, USA
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- Oduwole Adefisayo M.
- Department of Medicine, Morehouse School of Medicine, Atlanta, GA, USA
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A 31 year old female with known history of coronary artery disease and percutaneous coronary intervention presented with acute coronary syndrome. Unknown that patient was pregnant she had inadvertent radiation exposure to the fetus during cardiac catheterization which showed triple vessel disease and severe left ventricular dysfunction. Patient subsequently underwent multivessel off pump coronary artery bypass surgery with intraaortic balloon pump support after declining the recommendation for abortion. Postoperative course was uneventful and patient subsequently delivered a full term healthy baby several months later.Off pump revascularization with its ability to maintain pulsatile perfusion to the fetus should be considered if technically feasible for severe coronary artery disease requiring surgery during pregnancy.
収録刊行物
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- Annals of Thoracic and Cardiovascular Surgery
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Annals of Thoracic and Cardiovascular Surgery 22 (1), 57-59, 2016
Annals of Thoracic and Cardiovascular Surgery 編集委員会
