Congenital Aortic Stenosis in Pregnancy, Corrected by Extracorporeal Circulation

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Abstract
Severe heart disease associated with an unusual combination of circumstances necessitated surgical correction of congenital aortic stenosis in a 4-months pregnant, 23-year-old housewife. Extracorporeal circulation was utilized to support the mother and fetus during the 20minute period of arrested circulation to the heart. Following this successful surgery and an uneventful postoperative convalescence, pregnancy, and labor, a full-term viable infant was delivered. The child had multiple congenital anomalies and succumbed at the age of 4 months. Fourteen months later, a normal male infant was delivered from the same mother. Despite any proof of cause and effect in this situation, it appears wisest to assume, until proved otherwise, that the congenital anomalies in the first infant appeared as a direct result of the perfusion.

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