Resumen

LOPEZ GOMEZ, Brenda Melissa. Uncorrected congenital heart disease and pregnancy: report of a clinical case. Med. crít. (Col. Mex. Med. Crít.) [online]. 2018, vol.32, n.6, pp.362-367.  Epub 30-Jun-2020. ISSN 2448-8909.

In Western countries, most heart diseases in pregnant women are congenital, a situation that is related to the important advances registered in recent years in the field of congenital heart surgery. However, in developing countries, the situation is different: about 90% of these children receive inadequate or no treatment at all, and even reach adulthood without an established diagnosis; medical attention is requested when the disease is already at an advanced stage, or when a concomitant situation decompensates the heart disease. Diagnosing and offering an adequate treatment under these circumstances represents a challenge for the intensivist doctor, especially in the case of pregnant women, because the changes inherent to pregnancy and the possible damage to the integrity of the product make their care even more difficult. The aim of this article is the analysis of the most frequent congenital heart diseases not corrected surgically in pregnant women, as well as the repercussions that the physiological changes induced by pregnancy have in their evolution, through the review of a case of an obstetric patient who was not aware that she carried this disease.

Palabras llave : Congenital heart disease; pregnancy.

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