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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2021; 10(01): e45-e48
DOI: 10.1055/s-0041-1722876
Case Report: Cardiac

Management of Leukemia and Partial Atrioventricular Septal Defect during Pregnancy

Zhi Li
1   Jiangsu Province Hospital, the First Affiliated Hospital of Nanjing Medical University, Department of Cardiovascular Surgery, Nanjing, China
,
Haoliang Sun
1   Jiangsu Province Hospital, the First Affiliated Hospital of Nanjing Medical University, Department of Cardiovascular Surgery, Nanjing, China
,
Jinghang Li
1   Jiangsu Province Hospital, the First Affiliated Hospital of Nanjing Medical University, Department of Cardiovascular Surgery, Nanjing, China
,
Yu Zhu
2   Jiangsu Province Hospital, the First Affiliated Hospital of Nanjing Medical University, Department of Hematology, Nanjing, China
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Abstract

Background Pregnancy-associated acute myeloid leukemia (PA-AML) is rare. Cardiac surgery in the context of AML poses challenges that are seldom encountered.

Case Description The subject is a 31-year-old woman at 38 weeks' gestational age diagnosed with AML and partial atrioventricular septal defect. After multidisciplinary consulting, an urgent cesarean section was performed, then chemotherapy was initiated, followed by minimally invasive cardiac surgery with an uneventful recovery.

Conclusion Efficient multidisciplinary approach is essential in the management of PA-AML and cardiac disease. Minimally invasive cardiac surgery may be safe and useful in patients with AML.

Keywords

minimally invasive surgery - congenital heart disease - CHD - hematology - pregnancy


Publication History

Received: 09 September 2020

Accepted: 16 November 2020

Article published online:
28 June 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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