Surgical repair of atrial septal defect with severe pulmonary hypertension during pregnancy: A case report with literature review

Cardiology in the Young

Volumn 22, Issue 5, 2012, Pages 493-498

  Manivannan, Suganya ^a   Dadlani, Gul ^b   Parsons, Michael ^c   Crisan, Luminita ^c   Belogolovkin, Victoria ^c   Sastry, Narendra ^d   Guglin, Maya ^a  

^a UNIVERSITY OF SOUTH FLORIDA   (United States)

^b JOHNS HOPKINS ALL CHILDREN S HOSPITAL   (United States)

^c UNIVERSITY OF SOUTH FLORIDA   (United States)

^d TAMPA GENERAL HOSPITAL   (United States)

Author keywords

atrial flutter; atrial septal defect; pregnancy; Pulmonary hypertension

Indexed keywords

AMIODARONE; DILTIAZEM; FLECAINIDE; SILDENAFIL;

ABDOMINAL DISTENSION; ADULT; AORTA FLOW; CARDIOVERSION; CASE REPORT; DISEASE ASSOCIATION; DISEASE SEVERITY; ECHOGRAPHY; FEMALE; FETUS MONITORING; HEART ATRIUM FLUTTER; HEART ATRIUM SEPTUM DEFECT; HEART CATHETERIZATION; HEART OUTPUT; HEART RIGHT ATRIUM PRESSURE; HEART SURGERY; HEMODYNAMIC MONITORING; HUMAN; LUNG ARTERY PRESSURE; LUNG VASCULAR RESISTANCE; PATIENT COMPLIANCE; PREGNANCY; PREGNANT WOMAN; PULMONARY HYPERTENSION; RADIOFREQUENCY ABLATION; REVIEW; SINUS RHYTHM; SURGICAL RISK; SYSTOLIC BLOOD PRESSURE; SYSTOLIC HEART MURMUR; TRANSESOPHAGEAL ECHOCARDIOGRAPHY;

ADULT; CARDIAC SURGICAL PROCEDURES; ECHOCARDIOGRAPHY, TRANSESOPHAGEAL; FEMALE; FOLLOW-UP STUDIES; HEART SEPTAL DEFECTS, ATRIAL; HUMANS; HYPERTENSION, PULMONARY; INFANT, NEWBORN; PREGNANCY; PREGNANCY COMPLICATIONS, CARDIOVASCULAR; PREGNANCY OUTCOME; PULMONARY WEDGE PRESSURE; SEVERITY OF ILLNESS INDEX;

EID: 84866429456     PISSN: 10479511     EISSN: 14671107     Source Type: Journal    
DOI: 10.1017/S1047951112000492     Document Type: Review

References (27)

1. Bonnin M, Mercier FJ, Sitbon O, et al. Severe pulmonary hypertension during pregnancy: mode of delivery and anesthetic management of 15 consecutive cases. Anesthesiology 2005; 102: 1133-1137; discussion 1135A-1136A.
2. Weiss BM, Zemp L, Seifert B, Hess OM. Outcome of pulmonary vascular disease in pregnancy: a systematic overview from 1978 through 1996. J Am Coll Cardiol 1998; 31: 1650-1657.
3. Engelfriet PM, Duffels MG, Moller T, et al. Pulmonary arterial hypertension in adults born with a heart septal defect: the Euro Heart Survey on adult congenital heart disease. Heart 2007; 93: 682-687.
4. Bedard E, Dimopoulos K, Gatzoulis MA. Has there been any progress made on pregnancy outcomes among women with pulmonary arterial hypertension? Eur Heart J 2009; 30: 256-265.
5. Abbas AE, Lester SJ, Connolly H. Pregnancy and the cardiovascular system. Int J Cardiol 2005; 98: 179-189.
6. Fujitani S, Baldisseri MR. Hemodynamic assessment in a pregnant and peripartum patient. Critic Care Med 2005 (Suppl. 10); 33: S354-S361.
7. Robson SC, Hunter S, Boys RJ, Dunlop W. Serial changes in pulmonary haemodynamics during human pregnancy: a non-invasive study using Doppler echocardiography. Clin Sci (Lond) 1991; 80: 113-117.
8. Nahapetian A, Oudiz RJ. Serial hemodynamics and complications of pregnancy in severe pulmonary arterial hypertension. Cardiology 2008; 109: 237-240.
9. Sugishita Y, Ito I, Ozeki K, Ohta C, Kubo T. Intracardiac pressures in pregnant patients with mitral stenosis. Jpn Heart J 1981; 22: 885-894.
10. Soydemir DF, Johnston T, Clarke B. Percutaneous closure of an atrial septal defect during pregnancy using an Amplatzer occlusion device. J Obstet Gynaecol 2005; 25: 715-716.
11. Geohas C, McLaughlin VV. Successful management of pregnancy in a patient with Eisenmenger syndrome with epoprostenol. Chest 2003; 124: 1170-1173.
12. Lust KM, Boots RJ, Dooris M, Wilson J. Management of labor in Eisenmenger syndrome with inhaled nitric oxide. Am J Obstet Gynecol 1999; 181: 419-423.
13. Strickland RA, Oliver WC Jr, Chantigian RC, Ney JA, Danielson GK. Anesthesia, cardiopulmonary bypass, and the pregnant patient. Mayo Clin Proc 1991; 66: 411-429.
14. Pomini F, Mercogliano D, Cavalletti C, Caruso A, Pomini P. Cardiopulmonary bypass in pregnancy. Ann Thorac Surg 1996; 61: 259-268.
15. Kefer J, Sluysmans T, Hermans C et al. Percutaneous transcatheter closure of interatrial septal defect in adults: procedural outcome and long term results. Catheter Cardiovasc Interv 2012; 79: 322-330.
16. Balint OH, Samman A, Haberer K, et al. Outcomes in patients with pulmonary hypertension undergoing percutaneous atrial septal defect closure. Heart 2008; 94: 1189-1193.
17. de Lezo JS, Medina A, Romero M, et al. Effectiveness of percutaneous device occlusion for atrial septal defect in adult patients with pulmonary hypertension. Am Heart J 2002; 144: 877-880.
18. Horer J, Muller S, Schreiber C, et al. Surgical closure of atrial septal defect in patients older than 30 years: risk factors for late death from arrhythmia or heart failure. J Thorac Cardiovasc Surg 2007; 55: 79-83.
19. O'Donnell C, Ruygrok PN, Whyte K, Wilson NJ. Progressive pulmonary hypertension post atrial septal defect device closure-early symptomatic improvement may not predict outcome. Heart Lung Circ 2010; 19: 713-716.
20. Smedstad KG, Cramb R, Morison DH. Pulmonary hypertension and pregnancy: a series of eight cases. Can J Anaesth 1994; 41: 502-512.
21. Chia YT, Yeoh SC, Viegas OA, Lim M, Ratnam SS. Maternal congenital heart disease and pregnancy outcome. J Obstet Gynaecol Res 1996; 22: 185-191.
22. Biswas RG, Bandyopadhyay BK, Sarkar M, Sarkar UK, Goswami A, Mukherjee P. Perioperative management of pregnant patients with heart disease for caesarian section under anaesthesia. J Indian Med Assoc 2003; 101: 632, 634, 636-637; passim.
23. Yap SC, Drenthen W, Meijboom FJ, et al. Comparison of pregnancy outcomes in women with repaired versus unrepaired atrial septal defect. BJOG 2009; 116: 1593-1601.
24. Maeno Y, Hirose A, Kanbe T, Hori D. Fetal arrhythmia: prenatal diagnosis and perinatal management. J Obstet Gynaecol Res 2009; 35: 623-629.
25. Barnes EJ, Eben F, Patterson D. Direct current cardioversion during pregnancy should be performed with facilities available for fetal monitoring and emergency caesarean section. BJOG 2002; 109: 1406-1407.
26. Tromp CH, Nanne AC, Pernet PJ, Tukkie R, Bolte AC. Electrical cardioversion during pregnancy: safe or not? Neth Heart J 2011; 19: 134-136.
27. Grand A, Bernard J. Cardioversion and pregnancy. Fetal consequences. Nouv Presse Med 1973; 2: 2327-2329.