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

机译:仅引导Mri-Biged心导管插入术治疗孕妇肺动脉高压,未确诊先天性心脏病

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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.
机译:怀孕患有复杂的先天性心脏病(CHD)的妇女可以耐受差。在患有CHD和肺动脉高压(pH)的孕妇中,死亡率可以高达30%。对于风险分层的患者群体,通常需要用于评估血管动力学和肺血管抗性(PVR)的心脏导管插入程序。然而,在怀孕的前几周,由于电离辐射对未成熟胎儿的已知不良反应,应该更好地避免这种情况。在该设置中,仅MRI引导的导管插入件可以作为更好的替代品存在。

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