A Complex Adult Congenital Heart Disease Case in Pregnancy: A Multidisciplinary Approach

Elise Rosenthal; Kerly Guerrero; Manoj Gupta; Kfier Kuba; Diana S Wolfe

doi:10.1016/j.jaccas.2023.102170

A Complex Adult Congenital Heart Disease Case in Pregnancy: A Multidisciplinary Approach

JACC Case Rep. 2023 Dec 16;29(2):102170. doi: 10.1016/j.jaccas.2023.102170. eCollection 2024 Jan 17.

Authors

Elise Rosenthal¹, Kerly Guerrero², Manoj Gupta³, Kfier Kuba⁴, Diana S Wolfe^{2

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Affiliations

¹ Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, UT Southwestern Medical Center, Dallas, Texas, USA.
² Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York, USA.
³ Department of Pediatric Cardiology, Children's Hospital at Montefiore and Albert Einstein College of Medicine, Bronx, New York, USA.
⁴ Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Long Island Jewish Medical Center-Northwell Health, New Hyde Park, New York, USA.
⁵ Maternal Fetal Medicine Cardiology Joint Program, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York, USA.
⁶ Department of Medicine, Cardiology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York, USA.

Abstract

Multidisciplinary teams decrease the likelihood of adverse pregnancy outcomes in high-risk pregnant cardiac patients. We present the case of a patient with complex congenital heart disease and a mechanical mitral valve, whose treatment included warfarin until delivery despite the discovery of placental hematomas. A multidisciplinary approach mitigated both maternal and fetal adverse pregnancy outcomes.

Keywords: cardio-obstetrics; high-risk pregnancy; mechanical mitral valve.

Publication types

Case Reports