medigraphic.com
ISSN 0187-5337 (Print)
Instituto Nacional de Perinatología

2012, Number 3

<< Back Next >>

Perinatol Reprod Hum 2012; 26 (3)

Initial evaluation of congenital heart with short-circuit in pregnancy

Mendoza-Calderón SA, Hernández-Pacheco JA, Estrada-Altamirano A, Nares-Toricesm MA, Orozco MH, Hernández-Muñoz VA

Language: Spanish
References: 22
Page: 208-219
PDF size: 982.47 Kb.


ABSTRACT

There is now a large number of women with congenital heart disease, which reach reproductive age due to surgical corrections done during childhood. Women who become pregnant after receiving corrective or palliative surgery generally have a good perinatal outcome and few maternal risks. In other patients the primary diagnosis of congenital heart disease is performed, in a routinely query during pregnancy, there is a third group with previous diagnosis but who have never undergone surgery, and the vast majority of these require specialized handling during pregnancy, labor and the postpartum period by a multidisciplinary medical team, which should include cardiologists, internists, and intensivists who understand the physiological changes associated with pregnancy, and obstetricians with knowledge of the pathophysiology of cardiac malformations. Finally a group anesthesiologists with training on the obstetric patients in the context of cardiovascular disease.The aim of this review is to show the clinical and hemodynamic characteristics of pregnant patients with congenital heart disease with intracardiac short-circuit,the diagnostic mechanisms and parameters to be evaluated to determine the prognosis for pregnancy.


REFERENCES

  1. Lui G, Silversides C, Khairy P, Fernandes S, Valente A, Nickolaus M et al. Heart rate response during exercise and pregnancy outcome in women with congenital heart disease. Circulation 2011; 123: 242-8.

  2. Khairy P, Ouyang D, Fernandes S, Lee-Parritz A, Economy K, Landzberg M. Pregnancy outcomes in women with congenital heart disease. Circulation 2006; 113: 517-24.

  3. Vanden Hoek T, Morrison L, Shuster M, Donnino M, Sinz E, Lavonas E et al. Cardiac arrest in special situations. Circulation 2010; 122: S829-S61.

  4. Uebing A, Steer P, Yentis S, Gatzoulis M. Pregnancy and congenital heart disease. BMJ 2006; 332: 401-6.

  5. Harris I. Management of pregnancy in patients with congenital heart disease, National Institute of Health. Prog Cardiovasc Dis 2011; 53: 305-11.

  6. Warnes C, Williams R, Bashore T, Child J, Connolly H, Dearani J et al. Guidelines for the management of adults with congenital heart disease. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults with Congenital Heart Disease), Circulation 2008; 118: 1-20.

  7. Hill Ch, Pickinpaugh J. Physiologic changes in pregnancy. Surg Clin North Am 2008; 88: 391-401.

  8. Wald R, Sermer M, Colman J. Pregnancy and contraception in young women with congenital heart disease. Paediatr Child Health 2011; 16: e25-9.

  9. Davies G, Herbert W. Assessment and management of cardiac disease in pregnancy. J Obstet Gynaecol Can 2007; 29: 331-6.

  10. Regitz V, Blomstrom C, Borghi C, Cifkova R, Ferreira R, Foidart J et al. Guía de Práctica Clínica de la Sociedad Europea de Cardiología para el tratamiento de las enfermedades cardiovasculares durante el embarazo. Rev Esp Cardiol 2012; 65: 171.e1-e44.

  11. Royal College of Obstetricians and Gynaecologists. Maternal collapse in pregnancy and the puerperium. Green-top Guideline No. 56. 2011.

  12. Solanky S, Jain A, Singh A, Sharma A. Low-dose sequential combined-spinal epidural anesthesia for cesarean section in patient with uncorrected tetralogy of Fallot. SJA 2011; 5: 320-2.

  13. Baumgartner H, Bonhoeffer Ph, De Groot N, Haan F, Deanfield J, Galie N et al. Guía de Práctica Clínica de la Sociedad Europea de Cardiología para el manejo de cardiopatías congénitas en el adulto (nueva versión 2010). Rev Esp Cardiol 2010; 63: 1484.e1-e59.

  14. Yap S, Drenthen W, Meijboom F, Moons P, Mulder BJ, Vliegen H et al. Comparison of pregnancy outcomes in women with repaired versus unrepaired atrial septal defect. BJOG 2009; 116: 1593-1601.

  15. Gonzalez J, Cadavid A, Aguilera D, Cazzaniga M. Update article for continuos education Tetralogy of Fallot. Rev Colomb Cardiol 2008; 15: 139-47.

  16. Bailliard F, Anderson R. Tetralogy of Fallot. OJRD 2009; 4: 1-10.

  17. Silversides C, Marelli A, Kiess M, Beauchesne L, Dore A, Kiess M et al. Canadian Cardiovascular Society 2009 Consensus Conference on the management of adults with congenital heart disease: Outflow tract obstruction, coartation of the aorta, tetralogy of Fallot, Ebstein anomaly and Marfan’s syndrome. Can J Cardiology 2010; 26: 143-50.

  18. Schuuring M, Boekholdt S, Windhausen A, Bouma B, Groenink M, Keijzers M et al. Advanced therapy for pulmonary arterial hypertension due to congenital heart disease: a clinical perspective in a new therapeutic era. Neth Heart J 2011; 19: 509-13.

  19. Diller G, Breithardt G, Baumgartner H. Congenital heart defects in adulthood. Dtsch Arztebl Int 2011; 108: 452-9.

  20. Zuber M, Gautschi N, Oechslin E, Widmer V, Kiowski W, Jenni R. Outcome of pregnancy in women with congenital shunt lesions. Heart 1999; 81: 271-5.

  21. Weiss BM, Zemp L, Seifert B, Hess OM. Outcome of pulmonary vascular disease in pregnancy: a systematic overview from 1978 through 1996. J Am Coll Cardiol 1998; 31: 1650-7.

  22. Royal College of Obstetricians and Gynaecologists. Cardiac Disease and Pregnancy. 2011. (Good Practice No. 13.)




2020     |     www.medigraphic.com