title: Pregnancy and Adult Congenital Heart Disease.
abstract: Most women with known congenital heart disease can have successful pregnancy, labor, and delivery. Preconception assessment is essential in understanding anatomy, repairs, and current physiology, all of which can influence risk in pregnancy. With that foundation, a multidisciplinary cardio-obstetric team can predict and prepare for complications that may occur with superimposed hemodynamic changes of pregnancy. Individuals with Eisenmenger syndrome, pulmonary hypertension, cyanosis, significant left heart obstruction, ventricular dysfunction, or prior major cardiac event are among the highest risk for complications.
authors.affiliation: Adult Congenital Heart Disease Program, Massachusetts General Hospital Heart Center, Boston, MA, USA; Cardiovascular Disease and Pregnancy Service, Massachusetts General Hospital Heart Center, Boston, MA, USA. Electronic address: abhatt@mgh.harvard.edu.
authors.forename: Ami B
authors.initials: AB
authors.lastname: Bhatt
authors.affiliation: Adult Congenital Heart Disease Program, Massachusetts General Hospital Heart Center, Boston, MA, USA; Cardiovascular Disease and Pregnancy Service, Massachusetts General Hospital Heart Center, Boston, MA, USA.
authors.forename: Doreen
authors.initials: D
authors.lastname: DeFaria Yeh
mesh_terms: D000328:Adult; D037001:Directive Counseling; D005260:Female; D006330:Heart Defects, Congenital / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D016742:Preconception Care; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D011295:Prenatal Care
keywords: Adult congenital heart disease; Arrhythmia; Congenital heart disease; Heart failure; Obstetric anesthesia; Obstetrics; Preconception counseling; Pregnancy