Invited Commentary Pregnancy in Patients with Tetralogy of Fallot: Invited Commentary

Over the past decade, our ability to predict the risk of maternal and fetal complications during pregnancy for women with con-genital heart disease has been greatly advanced.1-5 Optimal management of such patients with moderate and complex con-genital heart disease appears facilitated by a team approach that includes high-risk obstetrical, anesthesia, and adult congenital heart disease care.6,7 Accessibility of, and communication among, care providers, coupled with a flexible delivery man-agement plan, are central to this team approach, as are patient education, prepregnancy counseling, and access to appropriate contraception prior to pregnancy. In this current issue, Kaur and colleagues provide a descriptive analysis of pregnancies in 10 women with tetralogy of Fallot. Although there have been much larger studies describing pregnancy outcomes in women with moderate an