Managing Pregnancy in a Patient With Unrepaired Congenital Heart Disease.

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.