title: Management of Pregnancy in Women With Repaired CHD or After the Fontan Procedure.
abstract: Pregnancy carries varying risks in women with congenital heart defects even after repair. Preconception evaluation is essential for genetic consultation, identifying/optimizing medical and surgical issues before pregnancy in order to improve outcomes. Echocardiography is the preferred imaging modality for guiding management. A multidisciplinary approach with collaboration between obstetrics, perinatology, anesthesiology, cardiology/adult congenital heart disease and cardiac surgery, at a specialized center is required for comprehensive management. This concise review driven by the recommendations from published guidelines, outcome data and our own clinical experience, provides a synopsis of the complexities involved in the care of this special population.
authors.affiliation: Kaiser Permanente Medical Center, 13652 Cantara Street, CMOB 308, Panorama City, CA, 91402, USA, reema.x.chugh@kp.org.
authors.forename: Reema
authors.initials: R
authors.lastname: Chugh
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