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Erschienen in: Current Cardiovascular Imaging Reports 9/2023

17.07.2023

Cardiovascular Imaging During Pregnancy in Women with Congenital and Valvular Heart Disease

verfasst von: Maria Isabel Camara Planek, Shannon Li, Leyla Herbst, Joanne Sutter, Rupa M. Sanghani, Annabelle Santos Volgman, Stuart H. Chen

Erschienen in: Current Cardiovascular Imaging Reports | Ausgabe 9/2023

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Abstract

Purpose of Review

Congenital heart disease is a common cardiovascular pathology encountered in pregnant women. Simultaneously, more women with native valvular disease are diagnosed and managed earlier, thus having the opportunity to pursue childbearing. Imaging the pregnant cardiovascular patient is key to the successful management of both populations. In this review, we highlight the indications, advantages, limitations, and guidelines involved with imaging a pregnant patient with congenital and valvular heart disease.

Recent Findings

The potential clinical benefits of imaging this population must be weighed against the maternal and fetal risk that is present in advanced imaging modalities, which is described in current ACC/AHA, STS, and ESC guidelines. Transthoracic echocardiography remains the cornerstone of cardiovascular imaging in pregnancy, which begins with initial risk stratification. Cardiac magnetic resonance imaging adds important prognostic and treatment guidance, particularly in complex congenital and aortic diseases. This review highlights suggested intervals of risk stratification, serial echocardiographic imaging, and nuances of the indications for further examination with studies such as exercise stress testing, transesophageal echocardiography, cardiac magnetic resonance imaging, and cardiac computed tomography when indicated.

Summary

With a multidisciplinary team-based approach, most women with congenital or valvular heart disease can be managed through pregnancy safely and successfully. Careful planning from pre-conception to postpartum with cardiovascular imaging, with continual physician-patient shared decision-making, is paramount to this success.
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Metadaten
Titel
Cardiovascular Imaging During Pregnancy in Women with Congenital and Valvular Heart Disease
verfasst von
Maria Isabel Camara Planek
Shannon Li
Leyla Herbst
Joanne Sutter
Rupa M. Sanghani
Annabelle Santos Volgman
Stuart H. Chen
Publikationsdatum
17.07.2023
Verlag
Springer US
Erschienen in
Current Cardiovascular Imaging Reports / Ausgabe 9/2023
Print ISSN: 1941-9066
Elektronische ISSN: 1941-9074
DOI
https://doi.org/10.1007/s12410-023-09581-5

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