Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2758631 | International Journal of Obstetric Anesthesia | 2009 | 4 Pages |
Abstract
A primigravid woman suffered a prolonged cardiac arrest at 18 weeks of gestation. Dilated ischemic cardiomyopathy was diagnosed. After recovery, the patient received an implantable cardioverter-defibrillator. At 38 weeks of gestation she had an elective caesarean delivery. Both mother and child had a favourable outcome. The effect of pregnancy on underlying cardiac disease and the management of maternal cardiac arrest with a pre-viable fetus are discussed. The importance of a multidisciplinary approach is emphasized. Continued neurodevelopmental assessment of the newborn is necessary to detect the long-term effects of fetal hypoxia in early pregnancy.
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Authors
E.C.M. Nelissen, C. de Zwaan, M.A.E. Marcus, J.G. Nijhuis,