2025/11/01 by Shantelle Bartra, Malissa J. Wood, Tankut Onal +4 · 1 voice
Medicine · #Cardiovascular Issues in Pregnancy #Congenital Heart Disease Studies #Pregnancy and Medication Impact
paper · doi:10.1016/j.jaccas.2025.105592
openalex publication_date 2025/11/01 · openalex created_date 2025/11/06 · openalex updated_date 2026/07/23
BACKGROUND: Pregnant patients with congenital heart disease (CHD), particularly those with unrepaired defects, require specialized multidisciplinary care to optimize maternal and fetal outcomes. CASE SUMMARY: A 38-year-old gravida 5 para 2 woman presented at 20 weeks of gestation with palpitations and a murmur. Evaluation revealed a transitional atrioventricular septal defect with moderate left atrioventricular valve regurgitation. Medical management was guided by multidisciplinary review, and a detailed delivery plan was embedded in the electronic medical record (EMR). She developed pre-eclampsia at 37 weeks and underwent vaginal delivery. DISCUSSION: Patients with unrepaired atrioventricular septal defect are at increased risk for pregnancy complications and postpartum decompensation. EMR-integrated delivery plans improve team coordination and reduce risk by ensuring consistent communication across specialties. This case highlights the practical application of such tools in CHD pregnancy management. TAKE-HOME MESSAGE: Multidisciplinary collaboration and EMR-integrated delivery plans are critical to improving peripartum outcomes in pregnant patients with CHD.