Management of Leukemia and Partial Atrioventricular Septal Defect during Pregnancy.

IF 0.3 Q4 SURGERY Thoracic and Cardiovascular Surgeon Reports Pub Date : 2021-01-01 Epub Date: 2021-06-28 DOI:10.1055/s-0041-1722876
Zhi Li, Haoliang Sun, Jinghang Li, Yu Zhu
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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.

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妊娠期白血病和部分房室间隔缺损的处理。
背景妊娠相关性急性髓性白血病(PA-AML)是罕见的。在AML的背景下,心脏手术提出了很少遇到的挑战。病例描述:本病例是一名孕38周的31岁女性,诊断为急性髓性白血病和部分房室间隔缺损。在多学科咨询后,进行了紧急剖宫产手术,然后开始化疗,随后进行了微创心脏手术,恢复顺利。结论高效的多学科联合治疗是治疗急性髓性白血病和心脏病的关键。微创心脏手术对急性髓性白血病患者可能是安全有效的。
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