INTRAUTERINE PREGNANCY AND AORTIC-VALVE REPLACEMENT - COMMENTS

Cardiopulmonary bypass (CPB) does not appear to cause excessive matern al risk, but the potential for fetal complications is of great concern . In general, operative intervention should be delayed until at least the second trimester. When this is not possible, ethical issues arise and a clash of maternal autonomy versus ''fetal rights'' ensues. This conflict is further complicated by maternal mental status changes that may accompany valvular disease or develop after CPB. The case describ ed herein summarizes and discusses these conflicts.