Trends in outcomes of pregnancy in patients with congenital heart disease.
Journal
Current opinion in anaesthesiology
ISSN: 1473-6500
Titre abrégé: Curr Opin Anaesthesiol
Pays: United States
ID NLM: 8813436
Informations de publication
Date de publication:
01 Feb 2023
01 Feb 2023
Historique:
pubmed:
12
11
2022
medline:
27
12
2022
entrez:
11
11
2022
Statut:
ppublish
Résumé
This review aims to analyze the trends in the management of pregnant patients with congenital heart disease (CHD). The literature that this article reviews specifically highlights the importance of multidisciplinary and specialized care, the unique and variable physiologic differences within the umbrella of CHD in pregnancy, and recommendations for obstetric and anesthetic care in the prenatal and peripartum period. The findings that this article summarizes have profound implications for clinical practice and management of the patient with CHD, including the optimization of preoperative screening, facilitation of ideal prenatal care to include qualified specialists and resources, and recommendations for optimal anesthetic management during labor and delivery.
Identifiants
pubmed: 36367224
doi: 10.1097/ACO.0000000000001208
pii: 00001503-202302000-00008
doi:
Types de publication
Review
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
35-41Informations de copyright
Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
Références
Uebing A, Steer PJ, Yentis SM, Gatzoulis MA. Pregnancy and congenital heart disease. BMJ 2006; 332:401–406.
Schlichting LE, Insaf TZ, Zaidi AN, et al. Maternal comorbidities and complications of delivery in pregnant women with congenital heart disease. J Am Coll Cardiol 2019; 73:2181–2191.
Regitz-Zagrosek V, Roos-Hesselink JW, Bauersachs J, et al. ESC Scientific Document Group. 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy. Eur Heart J 2018; 39:3165–3241.
Stout KK, Daniels CJ, Aboulhosn JA, et al. 2018 AHA/ACC guideline for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on clinical practice guidelines. J Am Coll Cardiol 2019; 73:e81–e192.
ACOG Practice Bulletin No. 212 summary: pregnancy and heart disease. Obstet Gynecol 2019; 133:1067–1072.
Balci A, Sollie-Szarynska KM, van der Bijl AG, et al. ZAHARA-II investigators. Prospective validation and assessment of cardiovascular and offspring risk models for pregnant women with congenital heart disease. Heart 2014; 100:1373–1381.
Canobbio MM, Warnes CA, Aboulhosn J, et al. Management of pregnancy in patients with complex congenital heart disease: a scientific statement for healthcare professionals from the American Heart Association. Circulation 2017; 135:e50–e87.
Shahjehan RD, Abraham J. Intracardiac shunts. StatPearls. Treasure Island (FL) 2022.
Grodzinsky A, Florio K, Spertus JA, et al. Importance of the cardio-obstetrics team. Curr Treat Options Cardiovasc Med 2019; 21:84.
Krywko DM, King KC. Aortocaval Compression Syndrome. StatPearls. Treasure Island (FL) 2022.
van Hagen IM, Roos-Hesselink JW. Pregnancy in congenital heart disease: risk prediction and counselling. Heart 2020; 106:1853–1861.
Otto CM, Nishimura RA, Bonow RO, et al. 2020 ACC/AHA guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation 2021; 143:e72–e227.
Jaffe RA, Siegel LC, Schnittger I, et al. Epidural air injection assessed by transesophageal echocardiography. Reg Anesth 1995; 20:152–155.
Hemnes AR, Kiely DG, Cockrill BA, et al. Statement on pregnancy in pulmonary hypertension from the Pulmonary Vascular Research Institute. Pulm Circ 2015; 5:435–465.
Elkayam U, Goland S, Pieper PG, Silverside CK. High-risk cardiac disease in pregnancy: part I. J Am Coll Cardiol 2016; 68:396–410.
Malvasi A, Tinelli A, Stark M, et al. Low-dose sequential combined spinal-epidural anaesthesia in elective Stark caesarean section: a preliminary cohort study. Eur Rev Med Pharmacol Sci 2010; 14:215–221.
Dresner M, Pinder A. Anaesthesia for caesarean section in women with complex cardiac disease: 34 cases using the Braun Spinocath spinal catheter. Int J Obstet Anesth 2009; 18:131–136.
Orme RM, Grange CS, Ainsworth QP, Grebenik CR. General anaesthesia using remifentanil for caesarean section in parturients with critical aortic stenosis: a series of four cases. Int J Obstet Anesth 2004; 13:183–187.
Ngan Kee WD, Khaw KS, Ma KC, et al. Maternal and neonatal effects of remifentanil at induction of general anesthesia for cesarean delivery: a randomized, double-blind, controlled trial. Anesthesiology 2006; 104:14–20.
McCabe M, An N, Aboulhosn J, et al. Anesthetic management for the peripartum care of women with Fontan physiology. Int J Obstet Anesth 2021; 48:103210.