Care and Monitoring of Pregnant Patients With Left Ventricular Assist Devices

Luis D. Pacheco, Antonio Saad, Scott D. Lick, Jose C. Iturrizaga, George Saade

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations


Cardiovascular disease is one of the leading causes of maternal mortality in the United States. Although still rare, pregnancy in patients with left ventricular assist devices (LVADs) is becoming more common. Typical indications for the use of LVADs in reproductive-aged females include ischemic cardiomyopathy, nonischemic (familial) dilated cardiomyopathy, peripartum cardiomyopathy, and some forms of myocarditis. An LVAD drains blood through a cannula placed into the apex of the left ventricle and then returns it to the proximal aorta bypassing the aortic valve allowing hemodynamic support in parallel with the native circulation. The physiologic changes associated with pregnancy, mainly increased blood volume and hypercoagulability, may adversely affect patients with LVADs, leading to many experts recommending against pregnancy. Maternal-fetal medicine specialists should have a central role within a multidisciplinary team required to provide optimal care for this high-risk group of patients.

Original languageEnglish (US)
Pages (from-to)1029-1035
Number of pages7
JournalObstetrics and gynecology
Issue number5
StatePublished - Nov 1 2023

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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