Abstract
Management of pregnant patients with cyanotic congenital heart disease is still a challenge as pulmonary-arterial hypertension (PAH) limits the outcome for the mother and the child [ 1 Regitz-Zagrosek V. Blomstrom Lundqvist C. Borghi C. Cifkova R. Ferreira R. Foidart J.M. et al. ESC guidelines on the management of cardiovascular diseases during pregnancy: the task force on the management of cardiovascular diseases during pregnancy of the European Society of Cardiology (ESC). Eur. Heart J. 2011; 32: 3147-3197 Crossref PubMed Scopus (32) Google Scholar , 2 Schmaltz A.A. Neudorf U. Winkler U.H. Outcome of pregnancy in women with congenital heart disease. Cardiol. Young. 1999; 9: 88-96 Crossref PubMed Google Scholar ]. In this disease spectrum tetralogy of fallot (TOF) is the most common besides Eisenmenger reaction resulting from shunt lesions like ventricular septum defect or malformations of the aorta with the truncus arteriosus [ 3 Baumgartner H. Bonhoeffer P. De Groot N.M. de Haan F. Deanfield J.E. Galie N. et al. ESC guidelines for the management of grown-up congenital heart disease (new version 2010). Eur. Heart J. 2010; 31: 2915-2957 Crossref PubMed Scopus (1869) Google Scholar , 4 Niwa K. Perloff J.K. Kaplan S. Child J.S. Miner P.D. Eisenmenger syndrome in adults: ventricular septal defect, truncus arteriosus, univentricular heart. J. Am. Coll. Cardiol. 1999; 34: 223-232 Abstract Full Text Full Text PDF PubMed Scopus (147) Google Scholar ]. Remodeling of the right ventricle is a condition often encountered during and after pregnancy and thus has to be reconciled in the management of congenital heart disease [ 3 Baumgartner H. Bonhoeffer P. De Groot N.M. de Haan F. Deanfield J.E. Galie N. et al. ESC guidelines for the management of grown-up congenital heart disease (new version 2010). Eur. Heart J. 2010; 31: 2915-2957 Crossref PubMed Scopus (1869) Google Scholar , 5 Egidy Assenza G. Cassater D. Landzberg M. Geva T. Schreier J. Graham D. et al. The effects of pregnancy on right ventricular remodeling in women with repaired tetralogy of Fallot. Int. J. Cardiol. 2013; 168: 1847-1852 Abstract Full Text Full Text PDF PubMed Scopus (52) Google Scholar ]. We summarize three cases of women being referred during pregnancy with cyanotic congenital heart disease and PAH.
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