Congenital heart disease in pregnancy.
Heart disease is a main cause of maternal mortality in the United States and the United Kingdom. Most deaths are from acquired conditions. However, due to the increased survival of children born with congenital heart disease (CHD) over the past 30 years, the population of adults with congenital heart disease in the U.S. now exceeds 1 million. Thus, there are now more adults with CHD than children with CHD. Many of these adult survivors of pediatric heart disease are of childbearing age and are considering pregnancy. This article reviews the literature concerning pregnancy and CHD.
Texas Adult Congenital Heart Disease Program, Texas Children's Hospital, Departments of Pediatrics and Medicine, Baylor College of Medicine, 6621 Fannin Street, 20th Floor West Tower, MC 19-345C, Houston, TX 77030, USA. wjfranklinmd@gmail.com
Wayne J
WJ
Franklin
Manisha
M
Gandhi
D000028:Abortion, Induced / Q000379:methods; D000328:Adult; D000773:Anesthesia, Obstetrical / Q000379:methods; D015906:Angioplasty, Balloon, Coronary; D002315:Cardiopulmonary Bypass; D036861:Delivery, Obstetric / Q000379:methods; D005260:Female; D005315:Fetal Diseases / Q000209:etiology; D006330:Heart Defects, Congenital / Q000628:therapy*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000628:therapy; D011181:Postnatal Care / Q000379:methods; D016742:Preconception Care / Q000379:methods; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000628:therapy*; D018570:Risk Assessment; D014694:Ventricular Outflow Obstruction / Q000628:therapy