Clinical Case Database / Category: Patient Management

Review of congenital heart disease in pregnancy

Publication details

Dr Sarah Vause, Dr Nayab Zahid, Professor Bernard Clarke
Foundation Years Journal, volume 8, issue 7, p.56 (123Doc Education, London, July 2014)

Abstract

RF, a 25 year old primigravida, was referred to the joint obstetric and cardiology clinic at a tertiary centre due to her history of CHD. She had been born with a congenital bicuspid aortic valve and aortic coarctation. She underwent a coarctation repair at 3 days of age.

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Authors

Dr Sarah Vause

Consultant in Fetal and Maternal Medicine and
Clinical Director for Obstetrics, St Mary’s Hospital,
Oxford Road, Manchester, M13 9WL
sarah.vause@cmft.nhs.uk

Dr Nayab Zahid

Flat 3F The Warehouse
Fairfield Street, Manchester, M1 3GF
samcox@doctors.org.uk

Professor Bernard Clarke

Honorary Clinical Professor of Cardiology
Manchester Academic Health Science Centre
University of Manchester
bernard.clarke@manchester.ac.uk

References

1. Nelson-Piercy C. Cardiac Disease. In: Luesley DM, Baker PN eds Obstetrics and Gynaecology An Evidence-Based Text for MRCOG 2nd edn. UK Edward Arnold 2010, 59-63.
2. Gelson E, Johnson M, Gatzoulis M, Uebing A. Review: Cardiac disease in pregnancy. Part 1: congenital heart disease. The Obstetrician and Gynaecologist 2007. 9:15-20.
3. Nelson-Piersy C. Thromboembolic Disease. In:Nelson-Piersy C Handbook of Obstetric Medicine 4th edn.UK Informa Healthcare 2010, 39-56.
4. Vause S, Thorne S, Clarke B. Preconceptual counselling for women with cardiac disease. In: Steer P, Gatzoulis M, Baker P eds Heart Disease and Pregnancy 1st edn. UK RCOG Press 2006, 3-8.
5. Drenthen W, Boersma E, Balci A, Moons P, Roos-Hesselink JW, Mulder BJ, et al. Predictors of pregnancy complications in women with congenital heart disease. Eur Heart J 2010; 31: 2124-2132.
6. Regitz-Zagrosek V, Blomstrom Lundqvist C, Borghi C et al. ESC Guidelines on the management of cardiovascular diseases in pregnancy. European Heart Journal 2011.32:3147-3197.
7. RCOG Good Practice No 13. Cardiac Disease and Pregnancy http://www.rcog.org.uk/files/rcog-corp/GoodPractice13CardiacDiseaseandPregnancy.pdf.
8. Lupton M. Antenatal Care of women with cardiac disease: an obstetrician’s perspective. In: Steer P, Gatzoulis M, Baker P eds Heart Disease and Pregnancy 1st edn. UK RCOG Press 2006, 3-8.
9. Chan WS, Anand S, Ginsberg JS. Anticoaglation of pregnant women with mechanical heart valves: A systematic review of the literature . Arch Intern Med 2000; 160:191.
10. Warnes C. Prosthetic Heart Valves. In: Steer P, Gatzoulis M, Baker P eds Heart Disease and Pregnancy 1st edn. UK RCOG Press 2006, 157-165.
11. Tower C. Medication in Pregnancy. In: Luesley DM, Baker PN eds Obstetrics and Gynaecology An Evidence-Based Text for MRCOG 2nd edn. UK Edward Arnold 2010 192-197.

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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