2018, Number 6
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ABSTRACTIn 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.
Warnes CA. Embarazo y enfermedades cardiovasculares. Zipes D, Libby P, Bonow R, Braunwald E, editores. Braunwald: Tratado de cardiología. 9.a ed. España: Elsevier Saunders; 2013. pp. 1793-1806.
Stergiopoulos K, Shiang E, Bench T. Pregnancy in patients with pre-existing cardiomyopathies. J Am Coll Cardiol. 2011;58(4):337-350.
Pitkin RM, Perloff JK, Koos BJ, Beall MH. Pregnancy and congenital heart disease. Ann Intern Med. 1990;112:445-454.
Wu JC, Child JS. Common congenital heart disorders in adults. Curr Probl Cardiol. 2004;29:641-700.
Bhatt AB, DeFaria-Yeh D. Pregnancy and adult congenital heart disease. Cardiol Clin. 2015;33:611-623.
Domènech AP, Gatzoulis MA. Embarazo y cardiopatía. Rev Esp Cardiol. 2006;59:971-984.
Colman JM, Siu SC. Pregnancy in adult patients with congenital heart disease. Prog Paediatr Cardiol. 2003;17:53-60.
Perloff JK. Congenital heart disease and pregnancy. Clin Cardiol. 1994;17:579-587.
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.
Brickner ME. Cardiovascular management in pregnancy: congenital heart disease. Circulation. 2014;130:273-282.
Swan L. Congenital heart disease in pregnancy. Best Pract Res Clin Obstet Gynaecol. 2014;28(4):495-506.
Yener N, Oktar GL, Erer D, Yardimci MM, Yener A. Bicuspid aortic valve. Ann Thorac Cardiovasc Surg. 2002;8(5):264-267.
Gandhi M, Martin SR. Cardiac disease in pregnancy. Obstet Gynecol Clin North Am. 2015;42(2):315-333.