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  • Title: Cardiopulmonary bypass in pregnancy: possible new role for the intra-aortic balloon pump.
    Author: Willcox TW, Stone P, Milsom FP, Connell H.
    Journal: J Extra Corpor Technol; 2005 Jun; 37(2):189-91. PubMed ID: 16117457.
    Abstract:
    Cardiopulmonary bypass (CPB) during pregnancy is associated with a maternal mortality similar to the nonpregnant population; however, fetal morbidity and mortality are high. Various strategies to improve fetal survival have been advocated. Alteration in uterine artery flow velocity has been reported during nonpulsatile CPB; however, roller pump-generated pulsatile flow for CPB remains controversial. We report use of the intra-aortic balloon pump (IABP) in two cases of pregnancy. In the first, the IABP was inserted after termination of a long bypass, specifically in an attempt to improve uterine perfusion and thereby relieve a profound fetal bradycardia. In the second, the IABP was used electively to provide pulsatile flow during the bypass period primarily to benefit fetal hemodynamics.
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