2018, Number 6
Uncorrected congenital heart disease and pregnancy: report of a clinical case
López GBM
Full text
10.35366/TI186F
Language: Spanish
References: 13
Page: 362-367
PDF size: 354.82 Kb.
ABSTRACT
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.REFERENCES
European Society of Gynecology (ESG); Association for European Paediatric Cardiology (AEPC); German Society for Gender Medicine (DGesGM), Regitz-Zagrosek V, Blomstrom Lundqvist C, Borghi C, et al. ESC Guidelines on the management of cardiovascular diseases during pregnancy: the Task Force on the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC). Eur Heart J. 2011;32(24):3147-3197.