Successful pregnancy in a woman with cyanotic congenital heart disease after a palliative pulmonary-systemic shunt. A case report.
A 20-year-old woman with cyanotic congenital heart disease composed of corrected transposition of the great vessels, severe pulmonic stenosis, atresia of the left pulmonary artery and a large ventricular septal defect, had a successful pregnancy following a pulmonary-systemic shunt (Blalock-Taussig). The hemoglobin decreased from 21 to 16 g/dL following the operation. The antepartum course was complicated by intrauterine growth retardation and pregnancy-induced hypertension. A normal fetal nonstress test and biophysical profile permitted continuation of the pregnancy until 38 weeks' gestation, with delivery of a healthy infant.
Frenkel
Y
Y
Department of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, Tel Aviv, Israel.
Alcalay
M
M
Chayen
B
B
Blieden
L
L
Mashiach
S
S
Battler
A
A
D000015:Abnormalities, Multiple / Q000601:surgery*; D000328:Adult; D005260:Female; D005317:Fetal Growth Retardation / Q000175:diagnosis / Q000209:etiology*; D005323:Fetal Monitoring; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000601:surgery*; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D006973:Hypertension / Q000097:blood / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D010166:Palliative Care; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000097:blood / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D011256:Pregnancy Outcome; D018633:Pulmonary Atresia / Q000150:complications / Q000601:surgery*; D011666:Pulmonary Valve Stenosis / Q000150:complications / Q000151:congenital / Q000601:surgery*; D014188:Transposition of Great Vessels / Q000150:complications / Q000601:surgery*
D006454:Hemoglobins