{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T16:47:26Z","timestamp":1788281246316,"version":"build-2803163510"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Anesthesiol"],"DOI":"10.1186\/s12871-025-03082-2","type":"journal-article","created":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T08:20:28Z","timestamp":1751358028000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Maternal outcomes among pregnant women with shunt-related congenital heart disease-associated pulmonary hypertension: a retrospective study"],"prefix":"10.1186","volume":"25","author":[{"given":"Tiantian","family":"Sun","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao","family":"Che","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yufang","family":"Lv","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaguang","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daqi","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinjing","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheng","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liyun","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,7,1]]},"reference":[{"issue":"3","key":"3082_CR1","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1093\/eurheartj\/ehn597","volume":"30","author":"E B\u00e9dard","year":"2009","unstructured":"B\u00e9dard E, Dimopoulos K, Gatzoulis MA. Has there been any progress made on pregnancy outcomes among women with pulmonary arterial hypertension? Eur Heart J. 2009;30(3):256\u201365.","journal-title":"Eur Heart J"},{"issue":"7","key":"3082_CR2","doi-asserted-by":"publisher","first-page":"1650","DOI":"10.1016\/S0735-1097(98)00162-4","volume":"31","author":"BM Weiss","year":"1998","unstructured":"Weiss BM, Zemp L, Seifert B, Hess OM. Outcome of pulmonary vascular disease in pregnancy: a systematic overview from 1978 through 1996. J Am Coll Cardiol. 1998;31(7):1650\u20137.","journal-title":"J Am Coll Cardiol"},{"issue":"12","key":"3082_CR3","doi-asserted-by":"publisher","first-page":"1003","DOI":"10.1161\/CIRCULATIONAHA.114.009029","volume":"130","author":"M Sanghavi","year":"2014","unstructured":"Sanghavi M, Rutherford JD. Cardiovascular physiology of pregnancy. Circulation. 2014;130(12):1003\u20138.","journal-title":"Circulation"},{"issue":"8","key":"3082_CR4","doi-asserted-by":"publisher","first-page":"e50","DOI":"10.1161\/CIR.0000000000000458","volume":"135","author":"MM Canobbio","year":"2017","unstructured":"Canobbio MM, Warnes CA, Aboulhosn J, Connolly HM, Khanna A, Koos BJ, Mital S, Rose C, Silversides C, Stout K. Management of pregnancy in patients with complex congenital heart disease: A scientific statement for healthcare professionals from the American heart association. Circulation. 2017;135(8):e50\u201387.","journal-title":"Circulation"},{"issue":"1","key":"3082_CR5","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1093\/eurheartj\/ehv317","volume":"37","author":"N Gali\u00e8","year":"2016","unstructured":"Gali\u00e8 N, Humbert M, Vachiery JL, Gibbs S, Lang I, Torbicki A, Simonneau G, Peacock A, Vonk Noordegraaf A, Beghetti M, et al. 2015 ESC\/ERS guidelines for the diagnosis and treatment of pulmonary hypertension: the joint task force for the diagnosis and treatment of pulmonary hypertension of the European society of cardiology (ESC) and the European respiratory society (ERS): endorsed by: association for European paediatric and congenital cardiology (AEPC), international society for heart and lung transplantation (ISHLT). Eur Heart J. 2016;37(1):67\u2013119.","journal-title":"Eur Heart J"},{"issue":"10","key":"3082_CR6","doi-asserted-by":"publisher","first-page":"1694","DOI":"10.1016\/j.amjcard.2017.02.003","volume":"119","author":"FV Lima","year":"2017","unstructured":"Lima FV, Yang J, Xu J, Stergiopoulos K. National trends and In-Hospital outcomes in pregnant women with heart disease in the united States. Am J Cardiol. 2017;119(10):1694\u2013700.","journal-title":"Am J Cardiol"},{"issue":"2","key":"3082_CR7","doi-asserted-by":"publisher","first-page":"204589402110136","DOI":"10.1177\/20458940211013671","volume":"11","author":"TT Low","year":"2021","unstructured":"Low TT, Guron N, Ducas R, Yamamura K, Charla P, Granton J, Silversides CK. Pulmonary arterial hypertension in pregnancy-a systematic review of outcomes in the modern era. Pulmonary Circulation. 2021;11(2):20458940211013671.","journal-title":"Pulmonary Circulation"},{"issue":"8","key":"3082_CR8","doi-asserted-by":"publisher","first-page":"1049","DOI":"10.2165\/00003495-200868080-00004","volume":"68","author":"N Galie","year":"2008","unstructured":"Galie N, Manes A, Palazzini M, Negro L, Marinelli A, Gambetti S, Mariucci E, Donti A, Branzi A, Picchio FM. Management of pulmonary arterial hypertension associated with congenital systemic-to-pulmonary shunts and Eisenmenger\u2019s syndrome. Drugs. 2008;68(8):1049\u201366.","journal-title":"Drugs"},{"key":"3082_CR9","doi-asserted-by":"crossref","unstructured":"Dachlan EG, Amirah, Cininta N, Pranadyan R, Putri AY, Oktaviono YH, Akbar MIA. High Maternal Neonatal Mortality and Morbidity in Pregnancy with Eisenmenger Syndrome. Journal of pregnancy 2021, 2021:3248850.","DOI":"10.1155\/2021\/3248850"},{"issue":"20","key":"3082_CR10","doi-asserted-by":"publisher","first-page":"2493","DOI":"10.1093\/eurheartj\/ehp297","volume":"30","author":"N Gali\u00e8","year":"2009","unstructured":"Gali\u00e8 N, Hoeper MM, Humbert M, Torbicki A, Vachiery JL, Barbera JA, Beghetti M, Corris P, Gaine S, Gibbs JS, et al. Guidelines for the diagnosis and treatment of pulmonary hypertension: the task force for the diagnosis and treatment of pulmonary hypertension of the European society of cardiology (ESC) and the European respiratory society (ERS), endorsed by the international society of heart and lung transplantation (ISHLT). Eur Heart J. 2009;30(20):2493\u2013537.","journal-title":"Eur Heart J"},{"issue":"4","key":"3082_CR11","doi-asserted-by":"publisher","first-page":"903","DOI":"10.1183\/13993003.01032-2015","volume":"46","author":"N Gali\u00e8","year":"2015","unstructured":"Gali\u00e8 N, Humbert M, Vachiery JL, Gibbs S, Lang I, Torbicki A, Simonneau G, Peacock A, Vonk Noordegraaf A, Beghetti M, et al. 2015 ESC\/ERS guidelines for the diagnosis and treatment of pulmonary hypertension: the joint task force for the diagnosis and treatment of pulmonary hypertension of the European society of cardiology (ESC) and the European respiratory society (ERS): endorsed by: association for European paediatric and congenital cardiology (AEPC), international society for heart and lung transplantation (ISHLT). Eur Respir J. 2015;46(4):903\u201375.","journal-title":"Eur Respir J"},{"key":"3082_CR12","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1186\/1750-1172-8-97","volume":"8","author":"D Montani","year":"2013","unstructured":"Montani D, G\u00fcnther S, Dorfm\u00fcller P, Perros F, Girerd B, Garcia G, Ja\u00efs X, Savale L, Artaud-Macari E, Price LC, et al. Pulmonary arterial hypertension. Orphanet J Rare Dis. 2013;8:97.","journal-title":"Orphanet J Rare Dis"},{"issue":"34","key":"3082_CR13","doi-asserted-by":"publisher","first-page":"3165","DOI":"10.1093\/eurheartj\/ehy340","volume":"39","author":"V Regitz-Zagrosek","year":"2018","unstructured":"Regitz-Zagrosek V, Roos-Hesselink JW, Bauersachs J, Blomstr\u00f6m-Lundqvist C, C\u00edfkov\u00e1 R, De Bonis M, Iung B, Johnson MR, Kintscher U, Kranke P, et al. 2018 ESC guidelines for the management of cardiovascular diseases during pregnancy. Eur Heart J. 2018;39(34):3165\u2013241.","journal-title":"Eur Heart J"},{"key":"3082_CR14","doi-asserted-by":"crossref","unstructured":"McNeil A, Chen J, Meng ML. Pulmonary hypertension in pregnancy-the Anesthesiologist\u2019s perspective. Int J Cardiol Congenital Heart Disease 2021, 5.","DOI":"10.1016\/j.ijcchd.2021.100234"},{"issue":"10","key":"3082_CR15","doi-asserted-by":"publisher","first-page":"1067","DOI":"10.1177\/2047487318821246","volume":"26","author":"Q Li","year":"2019","unstructured":"Li Q, Dimopoulos K, Liu T, Xu Z, Liu Q, Li Y, Zhang J, Gu H. Peripartum outcomes in a large population of women with pulmonary arterial hypertension associated with congenital heart disease. Eur J Prev Cardiol. 2019;26(10):1067\u201376.","journal-title":"Eur J Prev Cardiol"},{"issue":"1","key":"3082_CR16","doi-asserted-by":"publisher","first-page":"356","DOI":"10.1186\/s12884-016-1153-z","volume":"16","author":"R Duan","year":"2016","unstructured":"Duan R, Xu X, Wang X, Yu H, You Y, Liu X, Xing A, Zhou R, Xi M. Pregnancy outcome in women with Eisenmenger\u2019s syndrome: a case series from West China. BMC Pregnancy Childbirth. 2016;16(1):356.","journal-title":"BMC Pregnancy Childbirth"},{"issue":"21","key":"3082_CR17","doi-asserted-by":"publisher","first-page":"2419","DOI":"10.1016\/j.jacc.2018.02.076","volume":"71","author":"CK Silversides","year":"2018","unstructured":"Silversides CK, Grewal J, Mason J, Sermer M, Kiess M, Rychel V, Wald RM, Colman JM, Siu SC. Pregnancy outcomes in women with heart disease: the CARPREG II study. J Am Coll Cardiol. 2018;71(21):2419\u201330.","journal-title":"J Am Coll Cardiol"},{"issue":"9","key":"3082_CR18","doi-asserted-by":"publisher","first-page":"2249","DOI":"10.1253\/circj.CJ-12-0235","volume":"76","author":"S Katsuragi","year":"2012","unstructured":"Katsuragi S, Yamanaka K, Neki R, Kamiya C, Sasaki Y, Osato K, Miyoshi T, Kawasaki K, Horiuchi C, Kobayashi Y, et al. Maternal outcome in pregnancy complicated with pulmonary arterial hypertension. Circ J. 2012;76(9):2249\u201354.","journal-title":"Circ J"},{"issue":"3","key":"3082_CR19","doi-asserted-by":"publisher","first-page":"435","DOI":"10.1086\/682230","volume":"5","author":"AR Hemnes","year":"2015","unstructured":"Hemnes AR, Kiely DG, Cockrill BA, Safdar Z, Wilson VJ, Al Hazmi M, Preston IR, MacLean MR, Lahm T. Statement on pregnancy in pulmonary hypertension from the pulmonary vascular research Institute. Pulmonary Circulation. 2015;5(3):435\u201365.","journal-title":"Pulmonary Circulation"},{"issue":"1","key":"3082_CR20","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1097\/00019501-200502000-00003","volume":"16","author":"KM Chin","year":"2005","unstructured":"Chin KM, Kim NH, Rubin LJ. The right ventricle in pulmonary hypertension. Coron Artery Dis. 2005;16(1):13\u20138.","journal-title":"Coron Artery Dis"},{"issue":"4","key":"3082_CR21","doi-asserted-by":"publisher","first-page":"881","DOI":"10.1183\/09031936.00141211","volume":"40","author":"X Ja\u00efs","year":"2012","unstructured":"Ja\u00efs X, Olsson KM, Barbera JA, Blanco I, Torbicki A, Peacock A, Vizza CD, Macdonald P, Humbert M, Hoeper MM. Pregnancy outcomes in pulmonary arterial hypertension in the modern management era. Eur Respir J. 2012;40(4):881\u20135.","journal-title":"Eur Respir J"},{"issue":"6","key":"3082_CR22","doi-asserted-by":"publisher","first-page":"1133","DOI":"10.1097\/00000542-200506000-00012","volume":"102","author":"M Bonnin","year":"2005","unstructured":"Bonnin M, Mercier FJ, Sitbon O, Roger-Christoph S, Ja\u00efs X, Humbert M, Audibert F, Frydman R, Simonneau G, Benhamou D. Severe pulmonary hypertension during pregnancy: mode of delivery and anesthetic management of 15 consecutive cases. Anesthesiology. 2005;102(6):1133\u20137. discussion 1135A-1136A.","journal-title":"Anesthesiology"},{"issue":"3","key":"3082_CR23","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1016\/j.ijoa.2014.03.006","volume":"23","author":"DM Lin","year":"2014","unstructured":"Lin DM, Lu JK. Anesthetic management in pregnant patients with severe idiopathic pulmonary arterial hypertension. Int J Obstet Anesth. 2014;23(3):289\u201390.","journal-title":"Int J Obstet Anesth"}],"container-title":["BMC Anesthesiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12871-025-03082-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12871-025-03082-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12871-025-03082-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T08:20:32Z","timestamp":1751358032000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcanesthesiol.biomedcentral.com\/articles\/10.1186\/s12871-025-03082-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,1]]},"references-count":23,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["3082"],"URL":"https:\/\/doi.org\/10.1186\/s12871-025-03082-2","relation":{},"ISSN":["1471-2253"],"issn-type":[{"value":"1471-2253","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,1]]},"assertion":[{"value":"14 March 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 April 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 July 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethical approval for the study was provided by the Ethical Committee of Bei Jing AnZhen Hospitals, Beijing, China (Approval No.of Ethics Committee 2010008X). Informed consent was waived by the Ethical Committee of Bei Jing AnZhen Hospitals due to a retrospective study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Clinical trial number"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"299"}}