Management of Pregnancy in Women With Repaired CHD or After the Fontan Procedure.

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.