title: [Anaestheia for valve replacement in the second trimester of pregnancy].
abstract: Cardiac surgery in the pregnant woman gives rise to several anesthetic challenges, as the mother, but mainly the fetus, have a risk of high morbidity and mortality. In this context, the cardiopulmonary bypass is the most complex period, owing to the risks of fetal hypoxia it entails. Due to the absence, for ethical reasons, of prospective trials that provide generally accepted guidelines in intraoperative management, it means that physicians have to work based on case reports in the literature. These procedures also require team coordination to be successful. The case is presented of a 19 weeks pregnant woman, who required a mitral valve replacement, which was achieved with success, and enabled her to complete her pregnancy without complications. Details are provided on the published references on which our management was based.
authors.affiliation: Servicio de Anestesiología, Hospital de Clínicas, Facultad de Medicina, Universidad de la República, Montevideo, Uruguay. Electronic address: claudio.crivargas21@gmail.com.
authors.forename: C
authors.initials: C
authors.lastname: Rivero
authors.affiliation: Servicio de Anestesiología, Hospital de Clínicas, Facultad de Medicina, Universidad de la República, Montevideo, Uruguay.
authors.forename: M
authors.initials: M
authors.lastname: Cerizola
authors.affiliation: Servicio de Anestesiología, Hospital de Clínicas, Facultad de Medicina, Universidad de la República, Montevideo, Uruguay.
authors.forename: E
authors.initials: E
authors.lastname: Kohn
authors.affiliation: Servicio de Anestesiología, Hospital de Clínicas, Facultad de Medicina, Universidad de la República, Montevideo, Uruguay.
authors.forename: J
authors.initials: J
authors.lastname: Riva
mesh_terms: D000208:Acute Disease; D000328:Adult; D000768:Anesthesia, General / Q000379:methods*; D015148:Cardiotocography; D020150:Chorea Gravidarum / Q000209:etiology; D004417:Dyspnea / Q000209:etiology; D004630:Emergencies; D005045:Etomidate; D005260:Female; D005283:Fentanyl; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D008946:Mitral Valve Stenosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D011256:Pregnancy Outcome; D011262:Pregnancy Trimester, Second; D011654:Pulmonary Edema / Q000209:etiology; D012214:Rheumatic Heart Disease / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D013390:Succinylcholine
chemical_list: D013390:Succinylcholine; D005283:Fentanyl; D005045:Etomidate