Weinberg Catherine R, Ahmad Amier, Li Boyangzi, Halpern Dan G
Department of Cardiovascular Medicine, Lenox Hill Hospital, Northwell Health New York, NY.
Leon H Charney Division of Cardiology, NYU Langone Health New York, NY.
US Cardiol. 2020 Aug 25;14:e10. doi: 10.15420/usc.2020.08. eCollection 2020.
Remarkable advances in the care and survival of congenital heart disease (CHD) patients have led to increasing numbers of young women with CHD who carry a pregnancy with significant risk. The profound hemodynamic changes that naturally occur during gestation may unmask CHD or exacerbate an existing condition and place both the woman and fetus in jeopardy. The caring cardiologist should be familiar with the specific lesion and anticipate complications. Pregestational counseling and a multidisciplinary team approach during pregnancy are key for a successful pregnancy and favorable outcomes. In this review we discuss the evaluation of the expecting CHD patient and focus on the commonly encountered lesions.
先天性心脏病（CHD）患者在护理和生存方面取得了显著进展，导致患有CHD的年轻女性怀孕的风险越来越大。妊娠期间自然发生的深刻血流动力学变化可能会使CHD暴露或加重现有病情，使孕妇和胎儿都处于危险之中。有爱心的心脏病专家应熟悉具体病变并预测并发症。孕前咨询和孕期多学科团队协作是成功妊娠和取得良好结局的关键。在本综述中，我们讨论了对患有CHD的孕妇的评估，并重点关注常见病变。
