title: Transcatheter closure of atrial septal communication during pregnancy in women with Ebstein's anomaly of the tricuspid valve and cyanosis.
abstract: Transcatheter atrial septal defect occlusion is described in three pregnant patients with Ebstein's anomaly and exercise-induced cyanosis. Procedures took place in the second and third trimester. Careful hemodynamic testing was performed prior to permanent atrial septal occlusion to confirm the capacity of the right ventricle to accept the entirety of systemic venous return in the volume-expanded state of pregnancy. Outcomes for mother and fetus were favorable in all patients with significant reduction in maternal symptoms and resolution of cyanosis.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, University of California Los Angeles, Los Angeles, California.
authors.forename: Linda
authors.initials: L
authors.lastname: Houser
authors.forename: Elisa
authors.initials: E
authors.lastname: Zaragoza-Macias
authors.forename: Thomas K
authors.initials: TK
authors.lastname: Jones
authors.forename: Jamil
authors.initials: J
authors.lastname: Aboulhosn
mesh_terms: D000015:Abnormalities, Multiple; D000328:Adult; D054087:Atrial Septum / Q000601:surgery; D006328:Cardiac Catheterization / Q000379:methods*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D003490:Cyanosis / Q000209:etiology / Q000601:surgery*; D004437:Ebstein Anomaly / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006344:Heart Septal Defects, Atrial / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000601:surgery*; D011256:Pregnancy Outcome; D014261:Tricuspid Valve / Q000002:abnormalities; D055815:Young Adult
keywords: Ebstein's anomaly; atrial septal defect; transcatheter