Objectives:
This case series report outcomes of pregnancy in patient with complex congenital heart disease.
Background:
Increasing numbers of women with repaired/palliated complex CHD reaching reproductive age might have inappropriate pregnancy counseling.
Methods:

Four patients referred to the adult CHD service. Case 1, 22 years old lady with tricuspid atresia, pulmonary atresia underwent modified Fontan; advice not to get pregnant.
Case 2, 20 years old lady had multiple ventricular septal defect underwent pulmonary artery banding and Glenn operation, high pulmonary artery pressure preclude completion of Fontan, advice against pregnancy.
Case 3,26 years old lady with repaired truncous arteriosus, Case 4, 24 years old lady, had transposition of great artery underwent Mustard procedure, both of them never been taught about pregnancy risk.
Result:
Case 1, she delivered term baby, her echocardiography study showed good ventricular function; no arrhythmias postpartum.
Case 2, she delivered prematurely at 28 week of gestation, no postpartum arrhythmia, her baby remained in the neonatal unit.
Case 3, she delivered at term by cesarean section for obstetric indication, echocardiography study showed mild RV to PA conduit stenosis with good biventricular function, and no arrhythmias post partum.
Case 4, at 35 weeks she underwent cesarean section because of patient request, echocardiography study showed no systemic or pulmonary veins baffle obstruction, no AVVR, good biventricular function, normal sinus rhythm in 24 hour holter.
Conclusion:
Appropriate pregnancy counseling for women with complex CHD need to be delivered to the patient some of them might take the risk of having a baby.