Severe pulmonary hypertension in pregnancy following successful repair of ventricular septal defect in childhood.

Update item information
Publication Type Journal Article
School or College School of Medicine
Department Pediatrics; Obstetrics & Gynecology
Creator Varner, Michael W.; Jackson, G. Marc
Other Author Dildy, Gary A.; Clark, Steven L.
Title Severe pulmonary hypertension in pregnancy following successful repair of ventricular septal defect in childhood.
Date 1993-10
Description BACKGROUND: Because of advances in surgical repair, an increasing number of women born with structural cardiac disease now live to reproductive age. Patients treated successfully in childhood are followed for varying periods of time, then may be lost to follow-up or told that no follow-up is necessary because their condition is stable. However, the hemodynamic changes that accompany pregnancy may result in cardiovascular decompensation, even after years of apparently good health. CASES: We have recently cared for two women who had undergone repair of congenital heart disease in childhood. Although they thought that their repair was complete and they had been asymptomatic until the pregnancy, both presented with symptoms and signs of severe pulmonary hypertension, subsequently confirmed on cardiac catheterization. One patient elected to terminate her pregnancy, and the other died in the immediate puerperium. CONCLUSION: Despite normal physical function and an absence of abnormal physical findings, a thorough cardiac evaluation including echocardiography should be considered for pregnant patients with a history of repaired congenital heart disease, especially if the original defect is known to lead to pulmonary hypertension.
Type Text
Publisher Lippincott, Williams & Wilkins
Volume 82
Issue 4 Pt 2 Suppl
First Page 680
Last Page 682
Subject Pregnancy Complications, Cardiovascular; Heart Septal Defects, Ventricular; Hypertension, Pulmonary
Subject MESH Heart Septal Defects, Ventricular; Pregnancy Complications, Cardiovascular; Hypertension, Pulmonary; Pregnancy
Language eng
Bibliographic Citation Jackson GM, Dildy GA, Varner MW, Clark SL. Severe pulmonary hypertension in pregnancy following successful repair of ventricular septal defect in childhood. Obstet Gynecol. 1993 Oct;82(4 Pt 2 Suppl):680-2. Retrieved on May 31st 2007 from http://www.ncbi.nlm.nih.gov/sites/entrez?orig_db=PubMed&db=PubMed&cmd=Search&term=82%5Bvolume%5D%20AND%204%5Bissue%5D%20AND%20680%5Bpage%5D%20AND%201993%5Bpdat%5D%20AND%20Varner%20MW%5Bauthor%5D
Rights Management Copyright © Wolters Kluwer, Obstetrics and Gynecology, 82, 680-82, 1993
Format Medium application/pdf
Identifier ir-main,1603
ARK ark:/87278/s6pc3kvw
Setname ir_uspace
Date Created 2012-06-13
Date Modified 2012-06-13
ID 705180
Reference URL https://collections.lib.utah.edu/ark:/87278/s6pc3kvw
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