Successful Delivery in a Patient With Left Ventricular Assist Device and Unplanned Pregnancy

George Makdisi; M Y Jan; Lauren Dungy-Poythress; I-Wen Wang; Marco A Caccamo

doi:10.1016/j.athoracsur.2017.01.071

Successful Delivery in a Patient With Left Ventricular Assist Device and Unplanned Pregnancy

Ann Thorac Surg. 2017 Jul;104(1):e31-e33. doi: 10.1016/j.athoracsur.2017.01.071.

Authors

George Makdisi¹, M Y Jan², Lauren Dungy-Poythress³, I-Wen Wang⁴, Marco A Caccamo²

Affiliations

¹ Division of Cardiothoracic Surgery, Tampa General Hospital, Tampa, Florida. Electronic address: gmakdisi@hotmail.com.
² Krannert Institute of Cardiology, Indiana University, Indianapolis, Indiana.
³ Maternal Fetal Medicine, Indiana University, Indianapolis, Indiana.
⁴ Division of Cardiovascular Surgery, Indiana University, Indianapolis, Indiana.

PMID: 28633256
DOI: 10.1016/j.athoracsur.2017.01.071

Abstract

We report the case of a woman supported by a left ventricular assist device (LVAD) who presented at 20 weeks of gestation and decided against recommendations to continue with her pregnancy. This was managed with well-developed plan for a multidisciplinary team approach. With close and regular follow-up and regular adjustment of the patient's medications and LVAD parameters, successful delivery and outcome for both the mother and the newborn were achieved.

Publication types

Case Reports

MeSH terms

Adult
Delivery, Obstetric / methods*
Female
Heart Failure / therapy*
Heart-Assist Devices*
Humans
Infant, Newborn
Male
Pregnancy
Pregnancy Complications, Cardiovascular*
Pregnancy Outcome
Pregnancy, Unplanned*