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 gestation with palpitations and a murmur. Evaluation revealed a transitional atrioventricular septal defect (AVSD) with moderate left atrioventricular valve regurgitation. Multidisciplinary review guided medical management, and a detailed delivery plan was embedded in the electronic medical record (EMR). She developed preeclampsia at 37 weeks and underwent vaginal delivery.
Discussion: Patients with unrepaired AVSD 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 Messages: Multidisciplinary collaboration and EMR-integrated delivery plans are critical to improving peripartum outcomes in pregnant patients with congenital heart disease.
JACC Case Reports Interim Editors-in-Chief
Gilbert H. L. Tang, MD, MSc, MBA
CME Editor
Kenneth A. Ellenbogen, MD
Author
Ahmad M. Slim, MD
Important Dates
Date of Release: November 5, 2025
Term of Approval/Date of CME/MOC Expiration: November 4, 2026