Pregnancy with a Left Ventricular Assist Device: A Narrative Review

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 managem...

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Main Authors: Matthew S. Abraham, Lijo M. Andrews, Harsha Deo, John Paul, Santhalakshmi Angappan, Abraham Samuel, Abey S. Abraham
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Annals of Cardiac Anaesthesia
Subjects:
Online Access:https://journals.lww.com/10.4103/aca.aca_136_24
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author Matthew S. Abraham
Lijo M. Andrews
Harsha Deo
John Paul
Santhalakshmi Angappan
Abraham Samuel
Abey S. Abraham
author_facet Matthew S. Abraham
Lijo M. Andrews
Harsha Deo
John Paul
Santhalakshmi Angappan
Abraham Samuel
Abey S. Abraham
author_sort Matthew S. Abraham
collection DOAJ
description 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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language English
publishDate 2025-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Annals of Cardiac Anaesthesia
spelling doaj-art-df2fea85f4e64fd69c888e42bf3f6e952025-02-10T10:44:42ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97840974-51812025-01-01281101610.4103/aca.aca_136_24Pregnancy with a Left Ventricular Assist Device: A Narrative ReviewMatthew S. AbrahamLijo M. AndrewsHarsha DeoJohn PaulSanthalakshmi AngappanAbraham SamuelAbey S. AbrahamThis 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.https://journals.lww.com/10.4103/aca.aca_136_24cardiac anesthesiaheartmate 3/hm3pregnancyventricular assist device
spellingShingle Matthew S. Abraham
Lijo M. Andrews
Harsha Deo
John Paul
Santhalakshmi Angappan
Abraham Samuel
Abey S. Abraham
Pregnancy with a Left Ventricular Assist Device: A Narrative Review
Annals of Cardiac Anaesthesia
cardiac anesthesia
heartmate 3/hm3
pregnancy
ventricular assist device
title Pregnancy with a Left Ventricular Assist Device: A Narrative Review
title_full Pregnancy with a Left Ventricular Assist Device: A Narrative Review
title_fullStr Pregnancy with a Left Ventricular Assist Device: A Narrative Review
title_full_unstemmed Pregnancy with a Left Ventricular Assist Device: A Narrative Review
title_short Pregnancy with a Left Ventricular Assist Device: A Narrative Review
title_sort pregnancy with a left ventricular assist device a narrative review
topic cardiac anesthesia
heartmate 3/hm3
pregnancy
ventricular assist device
url https://journals.lww.com/10.4103/aca.aca_136_24
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