Key Points
- Examine the maternal and fetal complications associated with congenital heart disease during pregnancy and outline optimal clinical management strategies.
- Narrative clinical review evaluating maternal and fetal outcomes in women with repaired and unrepaired congenital heart defects reaching reproductive age.
- Analysis of maternal mortality risks across specific hemodynamic lesions and the incidence of congenital anomalies in offspring.
- Pulmonary hypertension syndromes, such as Eisenmenger syndrome, carry a prohibitively high risk of maternal death.
- Complex cyanotic lesions, predominantly tetralogy of Fallot, pose severe maternal dangers, while offspring exhibit an increased risk of inheriting cardiac defects detectable via fetal echocardiography.
- Patient outcomes are optimized through coordinated multidisciplinary care involving cardiologists, obstetricians, anesthesiologists, and echocardiographers.
Structured PICO
PPopulationPregnant women with congenital heart disease
Highlights the importance of multidisciplinary care and fetal echocardiography for pregnant women with congenital heart disease, particularly those with pulmonary hypertension or cyanotic heart disease.