Pregnancy in adult patients with congenital heart disease
2003; Elsevier BV; Volume: 17; Issue: 1 Linguagem: Inglês
10.1016/s1058-9813(03)00012-2
ISSN1558-1519
AutoresJack M. Colman, Samuel C. Siu,
Tópico(s)Cardiac Arrhythmias and Treatments
ResumoWomen with congenital heart disease constitute the majority of cardiac patients encountered in pregnancy, but nevertheless are only infrequently found in the practice of most medical cardiologists and high-risk obstetricians. The patients need guidance regarding contraception and pregnancy, and their various caregivers must share their expertise to promote optimal outcomes. Though maternal mortality is rare except in patients with Eisenmenger syndrome, pulmonary vascular obstructive disease and Marfan syndrome with aortopathy, maternal cardiac complications of pregnancy are more common. As well, women with heart disease are at higher risk for adverse fetal and neonatal outcomes. A review of general and lesion-specific risks and complications of pregnancy and an approach to management are outlined.
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