Tricuspid atresia secondary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Keri Shafer, M.D. [2] Priyamvada Singh, MBBS [[3]]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [[4]]

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Pregnancy

ACC/AHA Guidelines - Recommendations for Endocarditis Prophylaxis (DO NOT EDIT)

Class IIa

"1.Antibiotic prophylaxis before dental procedures that involve manipulation of gingival tissue or the periapical region of teeth or perforation of the oral mucosa is reasonable in those patients with the following indications: "

"a.Prosthetic cardiac valve.(Level of Evidence: B)"

"b.Previous infective endocarditis (IE).(Level of Evidence: B)"

"c.Unrepaired and palliated cyanotic CHD, including surgically constructed palliative shunts and conduits.(Level of Evidence: B)"

"d.Completely repaired CHD with prosthetic materials, whether placed by surgery or catheter intervention, during the first 6 months after the procedure.(Level of Evidence: B)"

"e.Repaired CHD with residual defects at the site or adjacent to the site of a prosthetic patch or prosthetic device that inhibit endothelialization.(Level of Evidence: B)"

"2.It is reasonable to consider antibiotic prophylaxis against IE before vaginal delivery at the time of membrane rupture in select patients with the highest risk of adverse outcomes. This includes patients with the following indications:"

"a.Prosthetic cardiac valve or prosthetic material used for cardiac valve repair.(Level of Evidence: C)"

Class III

"1.Pregnancy should not be planned without consultation and evaluation at a comprehensive ACHD center with experience and expertise in maternal and prenatal management of complex CHD.(Level of Evidence: C) "