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Chapter 37 - Cardiac Surgery during Pregnancy

from Section 8 - Miscellaneous Topics

Published online by Cambridge University Press:  12 May 2020

Joseph Arrowsmith
Affiliation:
Royal Papworth Hospital, Cambridge
Andrew Roscoe
Affiliation:
Singapore General Hospital
Jonathan Mackay
Affiliation:
Royal Papworth Hospital, Cambridge
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Summary

Cardiac disease has been the leading cause of overall maternal mortality in the UK since the 2002–2004 triennium. The maternal death rate from cardiac disease has increased from 1.65 per 100,000 maternities in the 1997–1999 triennium to 2.34 per 100,000 maternities in the 2013–2015 triennium. This is thought to be due to increasing maternal age, increasing levels of obesity and better recognition of cardiac pathology at autopsy.

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Publisher: Cambridge University Press
Print publication year: 2020

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References

Further Reading

Chandrasekhar, S, Cook, CR, Collard, CD. Cardiac surgery in the parturient. Anesth Analg 2009; 108: 777–85.CrossRefGoogle ScholarPubMed
Knight, M, Nair, M, Tuffnell, D, et al. (eds.) on behalf of MBRRACE-UK. Saving Lives, Improving Mothers’ Care – Surveillance of maternal deaths in the UK 2012–14 and lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2009–14. Oxford: National Perinatal Epidemiology Unit, University of Oxford; 2016. www.npeu.ox.ac.uk/downloads/files/mbrrace-uk/reports/MBRRACE-UK%20Maternal%20Report%202016%20-%20website.pdfGoogle Scholar
Pieper, PG, Hoendermis, ES, Drijver, YN. Cardiac surgery and percutaneous intervention in pregnant women with heart disease. Neth Heart J 2012; 20: 125–8.Google ScholarPubMed
Regitz-Zagrosek, V, Roos-Hesselink, JW, Bauersachs, J, et al. 2018 ESC guidelines for the management of cardiovascular diseases during pregnancy. Eur Heart J 2018; 39: 3165–241.Google ScholarPubMed
Salaunkey, K. Pregnancy and cardiovascular disorders. In Valchanov, K, Jones, N, Hogue, CW (eds), Core Topics in Cardiothoracic Critical Care, 2nd edn. Cambridge: Cambridge University Press; 2018, pp. 408–17.Google Scholar
Yuan, SM. Infective endocarditis during pregnancy. J Coll Physicians Surg Pak 2015; 25: 134–9.Google ScholarPubMed

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