Abstract
The success of cardiac surgery over the past 50 years has increased numbers and median age of survivors with congenital heart disease (CHD). Adults now represent two-thirds of patients with CHD; in the USA alone the number is estimated to exceed 1 million. In this population, many affected women reach reproductive age and wish to have children. While in many CHD patients pregnancy can be accomplished successfully, some special situations with complex anatomy, iatrogenic or residual pathology are associated with an increased risk of severe maternal and fetal complications. Pre-conception counselling allows women to come to truly informed choices. Risk stratification tools can also help high-risk women to eventually renounce to pregnancy and to adopt safe contraception options. Once pregnant, women identified as intermediate or high risk should receive multidisciplinary care involving a cardiologist, an obstetrician and an anesthesiologist with specific expertise in managing this peculiar medical challenge. This document is intended to provide cardiologists working in hospitals where an Obstetrics and Gynecology Department is available with a streamlined and practical tool, useful for them to select the best management strategies to deal with a woman affected by CHD who desires to plan pregnancy or is already pregnant.
| Original language | English |
|---|---|
| Pages (from-to) | D256-D292 |
| Journal | European Heart Journal, Supplement |
| Volume | 19 |
| Issue number | Suppl D |
| DOIs | |
| Publication status | Published - May 2017 |
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Consensus Document of the Italian Association of Hospital Cardiologists (ANMCO), Italian Society of Pediatric Cardiology (SICP), and Italian Society of Gynaecologists and Obstetrics (SIGO) : pregnancy and congenital heart diseases. / Bianca, Innocenzo; Geraci, Giovanna; Gulizia, Michele Massimo; Egidy Assenza, Gabriele; Barone, Chiara; Campisi, Marcello; Alaimo, Annalisa; Adorisio, Rachele; Comoglio, Francesca; Favilli, Silvia; Agnoletti, Gabriella; Carmina, Maria Gabriella; Chessa, Massimo; Sarubbi, Berardo; Mongiovì, Maurizio; Russo, Maria Giovanna; Bianca, Sebastiano; Canzone, Giuseppe; Bonvicini, Marco; Viora, Elsa; Poli, Marco.
In: European Heart Journal, Supplement, Vol. 19, No. Suppl D, 05.2017, p. D256-D292.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Consensus Document of the Italian Association of Hospital Cardiologists (ANMCO), Italian Society of Pediatric Cardiology (SICP), and Italian Society of Gynaecologists and Obstetrics (SIGO)
T2 - pregnancy and congenital heart diseases
AU - Bianca, Innocenzo
AU - Geraci, Giovanna
AU - Gulizia, Michele Massimo
AU - Egidy Assenza, Gabriele
AU - Barone, Chiara
AU - Campisi, Marcello
AU - Alaimo, Annalisa
AU - Adorisio, Rachele
AU - Comoglio, Francesca
AU - Favilli, Silvia
AU - Agnoletti, Gabriella
AU - Carmina, Maria Gabriella
AU - Chessa, Massimo
AU - Sarubbi, Berardo
AU - Mongiovì, Maurizio
AU - Russo, Maria Giovanna
AU - Bianca, Sebastiano
AU - Canzone, Giuseppe
AU - Bonvicini, Marco
AU - Viora, Elsa
AU - Poli, Marco
PY - 2017/5
Y1 - 2017/5
N2 - The success of cardiac surgery over the past 50 years has increased numbers and median age of survivors with congenital heart disease (CHD). Adults now represent two-thirds of patients with CHD; in the USA alone the number is estimated to exceed 1 million. In this population, many affected women reach reproductive age and wish to have children. While in many CHD patients pregnancy can be accomplished successfully, some special situations with complex anatomy, iatrogenic or residual pathology are associated with an increased risk of severe maternal and fetal complications. Pre-conception counselling allows women to come to truly informed choices. Risk stratification tools can also help high-risk women to eventually renounce to pregnancy and to adopt safe contraception options. Once pregnant, women identified as intermediate or high risk should receive multidisciplinary care involving a cardiologist, an obstetrician and an anesthesiologist with specific expertise in managing this peculiar medical challenge. This document is intended to provide cardiologists working in hospitals where an Obstetrics and Gynecology Department is available with a streamlined and practical tool, useful for them to select the best management strategies to deal with a woman affected by CHD who desires to plan pregnancy or is already pregnant.
AB - The success of cardiac surgery over the past 50 years has increased numbers and median age of survivors with congenital heart disease (CHD). Adults now represent two-thirds of patients with CHD; in the USA alone the number is estimated to exceed 1 million. In this population, many affected women reach reproductive age and wish to have children. While in many CHD patients pregnancy can be accomplished successfully, some special situations with complex anatomy, iatrogenic or residual pathology are associated with an increased risk of severe maternal and fetal complications. Pre-conception counselling allows women to come to truly informed choices. Risk stratification tools can also help high-risk women to eventually renounce to pregnancy and to adopt safe contraception options. Once pregnant, women identified as intermediate or high risk should receive multidisciplinary care involving a cardiologist, an obstetrician and an anesthesiologist with specific expertise in managing this peculiar medical challenge. This document is intended to provide cardiologists working in hospitals where an Obstetrics and Gynecology Department is available with a streamlined and practical tool, useful for them to select the best management strategies to deal with a woman affected by CHD who desires to plan pregnancy or is already pregnant.
U2 - 10.1093/eurheartj/sux032
DO - 10.1093/eurheartj/sux032
M3 - Article
VL - 19
SP - D256-D292
JO - European Heart Journal, Supplement
JF - European Heart Journal, Supplement
SN - 1520-765X
IS - Suppl D
ER -