• Int J Obstet Anesth · Aug 2016

    Case Reports

    Use of Doppler ultrasound in the management of uteroplacental perfusion during cardiopulmonary bypass in pregnancy.

    • D C Mandel, P G Pryde, D M Shah, and J I Iruretagoyena.
    • University of Wisconsin School of Medicine and Public Health, Department of OB/GYN, Division of Maternal Fetal Medicine, Madison, WI, USA.
    • Int J Obstet Anesth. 2016 Aug 1; 27: 75-80.

    AbstractCardiopulmonary bypass, the extreme of non-obstetric surgery during pregnancy, presents unique challenges to minimize maternal and fetal risk. We present our experience with a woman who was diagnosed with a left atrial myxoma following an ischemic cerebrovascular accident. We discuss clinical management specific to cardiopulmonary bypass during pregnancy and delivery in the context of a multidisciplinary team approach. We recommend using intermittent Doppler ultrasound as a non-invasive real-time assessment of uteroplacental perfusion during non-obstetric surgery in pregnancy. Monitoring of perfusion facilitates active feedback for appropriate in utero resuscitation in these cases.Copyright © 2016 Elsevier Ltd. All rights reserved.

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