Abstract

MENDOZA-CALDERON, Sergio Arael et al. Initial evaluation of congenital heart with short-circuit in pregnancy. Perinatol. Reprod. Hum. [online]. 2012, vol.26, n.3, pp.208-219. ISSN 2524-1710.

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.

Keywords : Congenital heart disease; pregnancy; cardiac short circuit; septal interatrial or interventricular defects; pulmonary arterial hypertension.

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