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 United States 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 counseling 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 | Italian |
|---|---|
| Pages (from-to) | 687-755 |
| Number of pages | 69 |
| Journal | Giornale Italiano di Cardiologia |
| Volume | 17 |
| Issue number | 9 |
| Publication status | Published - Sep 1 2016 |
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Documento di consenso ANMCO/SICP/SIGO : Gravidanza e cardiopatie congenite. / Bianca, Innocenzo; Geraci, Giovanna; Gulizia, Michele; Egidy-Assenza, Gabriele; Barone, Chiara; Campisi, Marcello; Alaimo, Annalisa; Adorisio, Rachele; Comoglio, Francesca; Favilli, Silvia; Agnoletti, G.; Carmina, Maria Gabriella; Chessa, Massimo; Sarubbi, Berardo; Mongiovì, Maurizio; Russo, Maria Giovanna; Bianca, S.; Canzone, G.; Bonvicini, Marco; Viora, Elsa; Poli, Marco.
In: Giornale Italiano di Cardiologia, Vol. 17, No. 9, 01.09.2016, p. 687-755.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Documento di consenso ANMCO/SICP/SIGO
T2 - Gravidanza e cardiopatie congenite
AU - Bianca, Innocenzo
AU - Geraci, Giovanna
AU - Gulizia, Michele
AU - Egidy-Assenza, Gabriele
AU - Barone, Chiara
AU - Campisi, Marcello
AU - Alaimo, Annalisa
AU - Adorisio, Rachele
AU - Comoglio, Francesca
AU - Favilli, Silvia
AU - Agnoletti, G.
AU - Carmina, Maria Gabriella
AU - Chessa, Massimo
AU - Sarubbi, Berardo
AU - Mongiovì, Maurizio
AU - Russo, Maria Giovanna
AU - Bianca, S.
AU - Canzone, G.
AU - Bonvicini, Marco
AU - Viora, Elsa
AU - Poli, Marco
PY - 2016/9/1
Y1 - 2016/9/1
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 United States 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 counseling 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 United States 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 counseling 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.
KW - Cardiac complications
KW - Cardiovascular disease
KW - Congenital heart disease
KW - Delivery
KW - Pregnancy
KW - Risk assessment
UR - http://www.scopus.com/inward/record.url?scp=84992385135&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84992385135&partnerID=8YFLogxK
M3 - Articolo
VL - 17
SP - 687
EP - 755
JO - Giornale Italiano di Cardiologia
JF - Giornale Italiano di Cardiologia
SN - 1827-6806
IS - 9
ER -