Abstract:
Introduction: At present, 0.2-4% of all pregnancies in western industrialized countries are
complicated by cardiovascular diseases (CVD). Guidelines on disease management in pregnancy are of
great relevance. Such guidelines have to give special consideration to the fact that all measures concern
not only the mother, but the fetus as well. Some general conclusions have arisen from these guidelines:
counselling and management of women of childbearing age with suspected cardiac disease should start
before pregnancy occurs; they should be managed by interdisciplinary teams.
Materials and methods: In The Institute of Cardiovascular Diseases "Prof. Dr. George IM
Georgescu ", Iaşi, there were four cases of pregnant women with cardiac disease associated. Patient
aged 16 years with 37 weeks pregnancy, single living fetus, tetralogy of Fallot, no cyanosis or
hypoxic crises in history, which is the first pregnacy well tolerated. Patients aged 24 years and 39
weeks gestational age, surgically corrected transposition of the great arteries, moderate aortic
stenosis, pulmonary stenosis, chronic heart failure NYHA class III, ventricular extrasystoles.
Patient aged 24 years, 38 weeks pregnancy, bicuspid aortic (stenosis moderate, moderate
regurgitation), circular array of string. Patient aged 31 years, pregnancy 37 weeks, mechanical
aortic valve replacement, NYHA class III chronic heart failure, incomplete uterine rupture.
Conclusion: In all four cases the pregnancy was terminated by cesarean section with further
favorable development in specialized treatment and supervision.
