- 著者
-
Shinichi Takatsuki
Yoshiyuki Furutani
Kei Inai
Tohru Kobayashi
Ryo Inuzuka
Tomomi Uyeda
Mitsuhiro Kamisago
Jun Muneuchi
Masahide Kaneko
Yasushi Misaki
Hiroshi Ono
Hitoshi Kato
Eriko Shimada
Tokuko Shinohara
Kenji Waki
Kenji Suda
Yasunobu Hayabuchi
Hirotaka Ohki
Reina Ishizaki
Jun Maeda
Hiroyuki Yamagishi
- 出版者
- The Japanese Circulation Society
- 雑誌
- Circulation Journal (ISSN:13469843)
- 巻号頁・発行日
- vol.84, no.12, pp.2270-2274, 2020-11-25 (Released:2020-11-25)
- 参考文献数
- 20
- 被引用文献数
-
5
Background:Although advances in cardiac surgery have led to an increased number of survivors with congenital heart disease (CHD), epidemiological data regarding the pregnancies and deliveries of patients with repaired CHD are scarce.Methods and Results:In this study, we retrospectively reviewed the clinical outcomes of pregnancies and deliveries of women with repaired CHD. Overall, 131 women with repaired CHD were enrolled and there were 269 gestations. All patients were classified as New York Heart Association (NYHA) Class I or II. The prevalence of cesarean sections was higher in patients with (CyCHD) than without (AcyCHD) a past history of cyanosis (51% vs. 19%, respectively; P<0.01). There were 228 offspring from 269 gestations and the most prevalent neonatal complication was premature birth (10%), which was more frequent in the CyCHD than AcyCHD group (15.7% vs. 5.6%, respectively; P<0.01). Five maternal cardiac complications during delivery were observed only in the CyCHD group (8%); these were classified as NYHA Class II and none was fatal.Conclusions:Delivery was successful in most women with repaired CHD who were classified as NYHA Class I or II, although some with CyCHD and NYHA Class II required more attention. Cesarean sections were more common in the CyCHD than AcyCHD group, and CyCHD may be a potential risk for preterm deliveries.