DOI: https://doi.org/10.36347/sjmcr.2025.v13i01.009

Pages: 53-56

Conducting open-heart surgery during pregnancy is rare and involves significant risks to both mother and fetus. This case series explores the clinical course, management, and outcomes of two pregnant patients undergoing open-heart surgery in a single tertiary care center. Two cases were analyzed retrospectively. Case 1 involved a 25-year-old woman undergoing emergency aortic valve replacement for Stanford A aortic dissection at 27 weeks of gestation. Case 2 featured a 32-year-old patient with severe mitral stenosis and atrial fibrillation undergoing mitral valve replacement at 29 weeks. Both cases required cesarean delivery for fetal management. Both patients demonstrated favorable maternal outcomes, including stable cardiac function postoperatively. Case 1 experienced transient lung consolidation but was managed successfully. Both neonates, born prematurely, required respiratory support. However, they displayed steady progress throughout. Optimized timing, multidisciplinary management, and modified cardiopulmonary bypass protocols are important to improving outcomes. Despite challenges, advancements in surgical and neonatal care provide promising results for these complex cases.