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ID 118041
Title Alternative
Pregnancy in Repaired Congenital Heart Disease
Author
Takatsuki, Shinichi Toho University
Furutani, Yoshiyuki Tokyo Women’s Medical University
Inai, Kei Tokyo Women’s Medical University
Kobayashi, Tohru National Center for Child Health and Development
Inuzuka, Ryo The University of Tokyo
Uyeda, Tomomi Sakakibara Heart Institute
Kamisago, Mitsuhiro Nippon Medical School
Muneuchi, Jun Japan Health Care Community Organization Kyushu Hospital
Kaneko, Masahide National Center for Child Health and Development
Misaki, Yasushi National Center for Child Health and Development
Ono, Hiroshi National Center for Child Health and Development
Kato, Hitoshi National Center for Child Health and Development
Shimada, Eriko Tokyo Women’s Medical University
Shinohara, Tokuko Tokyo Women’s Medical University
Waki, Kenji Kurashiki Central Hospital
Suda, Kenji Kurume University
Ohki, Hirotaka Tokyo Metropolitan Children’s Medical Center
Ishizaki, Reina Keio University
Maeda, Jun Tokyo Metropolitan Children’s Medical Center|Keio University
Yamagishi, Hiroyuki Keio University
Keywords
Adult congenital heart disease
Cesarean section
Premature
Tetralogy of Fallot
Content Type
Journal Article
Description
Background: Although advances in cardiac surgery have led to an increased number of survivors with congenital heart disease (CHD), epidemiological data regarding the pregnancies and deliveries of patients with repaired CHD are scarce.
Methods and Results: In this study, we retrospectively reviewed the clinical outcomes of pregnancies and deliveries of women with repaired CHD. Overall, 131 women with repaired CHD were enrolled and there were 269 gestations. All patients were classified as New York Heart Association (NYHA) Class I or II. The prevalence of cesarean sections was higher in patients with (CyCHD) than without (AcyCHD) a past history of cyanosis (51% vs. 19%, respectively; P<0.01). There were 228 offspring from 269 gestations and the most prevalent neonatal complication was premature birth (10%), which was more frequent in the CyCHD than AcyCHD group (15.7% vs. 5.6%, respectively; P<0.01). Five maternal cardiac complications during delivery were observed only in the CyCHD group (8%); these were classified as NYHA Class II and none was fatal.
Conclusions: Delivery was successful in most women with repaired CHD who were classified as NYHA Class I or II, although some with CyCHD and NYHA Class II required more attention. Cesarean sections were more common in the CyCHD than AcyCHD group, and CyCHD may be a potential risk for preterm deliveries.
Journal Title
Circulation Journal
ISSN
13474820
Publisher
The Japanese Circulation Society
Volume
84
Issue
12
Start Page
2270
End Page
2274
Published Date
2020-11-25
Rights
This article is licensed under a Creative Commons [Attribution-NonCommercial-NoDerivatives 4.0 International] license. https://creativecommons.org/licenses/by-nc-nd/4.0/
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DOI (Published Version)
URL ( Publisher's Version )
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language
eng
TextVersion
Publisher
departments
Medical Sciences