Pregnancy with a Left Ventricular Assist Device: A Narrative Review.

IF 1.1 Q3 ANESTHESIOLOGY

Annals of Cardiac Anaesthesia Pub Date : 2025-01-01 Epub Date: 2025-01-24 DOI:10.4103/aca.aca_136_24

Matthew S Abraham, Lijo M Andrews, Harsha Deo, John Paul, Santhalakshmi Angappan, Abraham Samuel, Abey S Abraham

引用次数: 0

Abstract

Abstract: This narrative review discusses the various challenges associated with the presence of a left ventricular assist device (LVAD) during pregnancy. Given the hemodynamic and coagulation changes associated with pregnancy, the presence of an LVAD adds a layer of complexity with respect to optimal management. This review will discuss the anesthetic considerations when dealing with this subset of patients who may have other comorbidities alongside their advanced heart failure. Additionally, this paper aims to review successful pregnancies with an LVAD placement focusing on the mode of delivery and hemodynamic management risk.

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妊娠与左心室辅助装置：叙述回顾。

摘要：本综述讨论了妊娠期间与左心室辅助装置（LVAD）存在相关的各种挑战。考虑到与妊娠相关的血流动力学和凝血变化，LVAD的存在增加了最佳管理的复杂性。这篇综述将讨论在处理这部分可能伴有其他合并症的晚期心力衰竭患者时的麻醉考虑。此外，本文旨在回顾LVAD放置的成功妊娠，重点关注分娩方式和血流动力学管理风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Cardiac Anaesthesia ANESTHESIOLOGY-

CiteScore

1.60

自引率

0.00%

发文量

147

审稿时长

26 weeks

期刊介绍： Annals of Cardiac Anaesthesia (ACA) is the official journal of the Indian Association of Cardiovascular Thoracic Anaesthesiologists. The journal is indexed with PubMed/MEDLINE, Excerpta Medica/EMBASE, IndMed and MedInd. The journal’s full text is online at www.annals.in. With the aim of faster and better dissemination of knowledge, we will be publishing articles ‘Ahead of Print’ immediately on acceptance. In addition, the journal would allow free access (Open Access) to its contents, which is likely to attract more readers and citations to articles published in ACA. Authors do not have to pay for submission, processing or publication of articles in ACA.