Cesarean Section and Emergency Operations in Pregnant Women With Cardiac Disease, 10-Year Results

Objectives: Cardiac disease complicates 1-4% of pregnancies, necessitating careful management and birth planning.This retrospective study examines anesthesia practices and outcomes in pregnant women with heart disease undergoing cesarean section (C/S) and emergency surgery at our cardiac center.Methods: This retrospective study included all pregnant women with heart disease who underwent C/S or emergency surgery.Electronic and medical records of the patients were reviewed. Results:The study included 74 pregnant patients, all of whom received general anesthesia.The most common cardiac condition was mitral valve replacement, followed by isolated pulmonary hypertension.Emergency C/S was performed in 23 patients, and one required emergency cardiopulmonary bypass.Maternal hospital mortality was 8.1%, with 72 live births.Extubation in the operating room was achieved in 24% of cases, while 22% remained in the ICU for more than a day.Two patients required ECMO, one of whom died postoperatively.Conclusion: Close monitoring of pregnant women with cardiac disease throughout pregnancy is essential.Multidisciplinary management in specialized centers can significantly reduce perioperative morbidity and mortality.