Cardiopatía y embarazo

SUMMARYWe report our experience managing pregnant patients with heart disease at the Simón Bolívar Hospital in Bogotá. The report includes three patients seen between January and December, 2009.The first case is a 28-year old patient with tetralogy of Fallot and 38.3weeks of gestation. The second case is a 20-year old patient in labor with an Ebstein's anomaly and 38.6weeks of gestation. The third case is a 21-year old patient with severe aortic stenosis in week 39 of pregnancy.The outcome in all three cases was favorable. Knowledge of the different heart diseases enables safe anesthetic management. The choice of the anesthetic technique requires assessment of the following parameters: cardiac reserve, ventricular function, pulmonary hypertension, pulmonary or duct stenosis, conduction defects and arrhythmias