Solely MRI-Guided Cardiac Catheterization for Assessment of Pulmonary Hypertension in a Pregnant Lady with Undiagnosed Congenital Heart Disease

Pregnancy in women with complex congenital heart disease (CHD) can be poorly tolerated. Amongst pregnant women with CHD and pulmonary hypertension (PH), the mortality rate can be as high as 30%. Cardiac catheterization procedures for assessment of haemodynamics and pulmonary vascular resistance (PVR...

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Main Authors: Aphrodite Tzifa, Ioannis Polymerou, Dimitra Loggitsi
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2020/3072869
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author Aphrodite Tzifa
Ioannis Polymerou
Dimitra Loggitsi
author_facet Aphrodite Tzifa
Ioannis Polymerou
Dimitra Loggitsi
author_sort Aphrodite Tzifa
collection DOAJ
description Pregnancy in women with complex congenital heart disease (CHD) can be poorly tolerated. Amongst pregnant women with CHD and pulmonary hypertension (PH), the mortality rate can be as high as 30%. Cardiac catheterization procedures for assessment of haemodynamics and pulmonary vascular resistance (PVR) are often required in this patient population for risk stratification. However, during the first few weeks of pregnancy, this should better be avoided due to the known adverse effects of the ionizing radiation to the immature fetus. In this setting, a solely MRI-guided catheterization may present as a better alternative.
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institution Kabale University
issn 2090-6404
2090-6412
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publishDate 2020-01-01
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series Case Reports in Cardiology
spelling doaj-art-f3bee09ef8164ae4bb9c8224f489334c2025-02-03T06:06:44ZengWileyCase Reports in Cardiology2090-64042090-64122020-01-01202010.1155/2020/30728693072869Solely MRI-Guided Cardiac Catheterization for Assessment of Pulmonary Hypertension in a Pregnant Lady with Undiagnosed Congenital Heart DiseaseAphrodite Tzifa0Ioannis Polymerou1Dimitra Loggitsi2Department of Congenital Heart Disease, Mitera Children’s Hospital, Athens, GreeceBiomedical Engineering & Clinical Sciences, King’s College London, UKDepartment of Radiology, Mitera Children’s Hospital, Athens, GreecePregnancy in women with complex congenital heart disease (CHD) can be poorly tolerated. Amongst pregnant women with CHD and pulmonary hypertension (PH), the mortality rate can be as high as 30%. Cardiac catheterization procedures for assessment of haemodynamics and pulmonary vascular resistance (PVR) are often required in this patient population for risk stratification. However, during the first few weeks of pregnancy, this should better be avoided due to the known adverse effects of the ionizing radiation to the immature fetus. In this setting, a solely MRI-guided catheterization may present as a better alternative.http://dx.doi.org/10.1155/2020/3072869
spellingShingle Aphrodite Tzifa
Ioannis Polymerou
Dimitra Loggitsi
Solely MRI-Guided Cardiac Catheterization for Assessment of Pulmonary Hypertension in a Pregnant Lady with Undiagnosed Congenital Heart Disease
Case Reports in Cardiology
title Solely MRI-Guided Cardiac Catheterization for Assessment of Pulmonary Hypertension in a Pregnant Lady with Undiagnosed Congenital Heart Disease
title_full Solely MRI-Guided Cardiac Catheterization for Assessment of Pulmonary Hypertension in a Pregnant Lady with Undiagnosed Congenital Heart Disease
title_fullStr Solely MRI-Guided Cardiac Catheterization for Assessment of Pulmonary Hypertension in a Pregnant Lady with Undiagnosed Congenital Heart Disease
title_full_unstemmed Solely MRI-Guided Cardiac Catheterization for Assessment of Pulmonary Hypertension in a Pregnant Lady with Undiagnosed Congenital Heart Disease
title_short Solely MRI-Guided Cardiac Catheterization for Assessment of Pulmonary Hypertension in a Pregnant Lady with Undiagnosed Congenital Heart Disease
title_sort solely mri guided cardiac catheterization for assessment of pulmonary hypertension in a pregnant lady with undiagnosed congenital heart disease
url http://dx.doi.org/10.1155/2020/3072869
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AT ioannispolymerou solelymriguidedcardiaccatheterizationforassessmentofpulmonaryhypertensioninapregnantladywithundiagnosedcongenitalheartdisease
AT dimitraloggitsi solelymriguidedcardiaccatheterizationforassessmentofpulmonaryhypertensioninapregnantladywithundiagnosedcongenitalheartdisease