Snezana Medakovic
Institute for Cardiovascular Diseases Dedinje, Serbia
Title: Emergency conditions in cardiac surgery and obstetrics: A case report
Biography
Biography: Snezana Medakovic
Abstract
During 2016, two pregnant women in the last weeks of gestation were admitted to the Institute for the Cardiovascular Disease Dedinje. Both patients were admitted urgently because they were diagnosed with acute dissection ascendant aorta. One was sent from the Novi Pazar Health Center and the other from the Clinical Center of Kragujevac (two regional hospital centers). Coordinating health professionals at all levels contributed to good, rapid and effective preparation for the reception of these patients. Three teams were organized: Gynecologic-obstetric, neonatological and cardiac surgery. With such an extensive and large team, communication and cooperation are of the utmost importance. Mutual cooperation between health professionals with in such big teams is extremely important for successful surgical procedures. The assessment of team leaders was that, it was necessary to begin with the imperial cut-release pressure on the abdominal aorta in order to reduce the pressure on the ascendant aorta as well as to free the child from reduced oxygenation and then immediately perform cardiac surgery. The gynecological-obstetric team was on standby, and the neonatal team prepared transport incubator. With the last surgical suture in the abdomen, the patients were admitted to the cardiac surgery team. Successful collaboration of the multidisciplinary team has led to complete success because the mothers and the babies survived this extremely difficult state of health. The satisfaction of all three teams is enormous, because the mothers and the babies, post-operative over the period continued their normal life.