Publication Name	World Journal of Cardiology
Manuscript ID	106295
Country	United States

Category	Cardiac & Cardiovascular Systems
Manuscript Type	Evidence Review
Article Title	Navigating women with congenital heart disease during pregnancy: Management strategies and future directions
Manuscript Source	Invited Manuscript
All Author List	Bibhuti B Das, Varun Aggarwal and Shriprasad R Deshpande
Funding Agency and Grant Number
Corresponding Author	Bibhuti B Das, FACC, MD, Professor, Congenital Heart Center, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216, United States. bbdas001@gmail.com
Key Words	Congenital heart disease; Pregnancy; Women with congenital heart disease; Contraception; Postpartum care; Maternal & fetal outcomes
Core Tip	Managing adult congenital heart disease (ACHD) in pregnancy requires a multidisciplinary approach. Preconception counseling, risk stratification with the modified World Health Organization classification, and tailored monitoring optimize maternal and fetal outcomes. Hemodynamic changes can worsen ACHD complications, necessitating specialized cardio-obstetric team care. Individualized delivery plans, vigilant postpartum surveillance, and post-delivery contraception counseling are essential. Advances in imaging and interventions improve outcomes, but high-risk cases demand tertiary center expertise to address cardiac decompensation, arrhythmia, or heart failure, ensuring safe pregnancy management. Future directions emphasize AI-driven risk prediction to further enhance outcomes.
Citation	Das BB, Aggarwal V, Deshpande SR. Navigating women with congenital heart disease during pregnancy: Management strategies and future directions. World J Cardiol 2025; In press

Received	2025-02-24 13:43
Peer-Review Started	2025-02-24 13:44
To Make the First Decision
Return for Revision	2025-04-01 12:56
Revised	2025-04-08 05:17
Second Decision	2025-05-21 02:48
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-05-21 13:54
Articles in Press	2025-05-21 13:54
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1949-8462 (online)
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