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2015, Number 1

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Rev Cubana Cardiol Cir Cardiovasc 2015; 21 (1)

Pregnancy in patients with Tetralogy of Fallot and pulmonary atresia unrepaired. Report of a case

Peña BV, Espronceda SK, Román RPA, Pérez TJE, García SI, Castillo AI

Language: Spanish
References: 25
Page: 32-37
PDF size: 471.91 Kb.


ABSTRACT

We present the evolution of pregnancy in a patient diagnosed with Tetralogy of Fallot and pulmonary atresia, not repaired. Pregnant 22-year-old in the first cardiovascular assessment referred personal history, plus the presence of a patent ductus arteriosus is corroborated. The patient was in functional class II-III of the New York Heart Association, slight cyanosis, with oxygen saturation of 84% confirmed by arterial blood gases, and neuroleptic treatment for paranoid schizophrenia. During pregnancy is not modified functional class, without worsening of cyanosis, and does not develop arrhythmias, thromboembolic events or other complications. At 30 weeks fetal lung maturity is done by cardiovascular indication and pessary is placed preterm labor, retiring four days later by bleeding. Pregnancy interrupted by cesarean section at 32 weeks, maternal benefit, resulting in a preterm newborn, 32 weeks, with a Apgar score of 9/9, and weight of 1600 grams without congenital heart disease. The mother and baby are graduates without complications.


REFERENCES

  1. Pedrero E. Genes implicados en el desarrollo anómalo del co-razón. Rev Ped México. 2003; 70(3):139-42.

  2. Ministerio de Salud Pública. Anuario estadístico. La Habana: MINSAP; 2012.

  3. Ardura J. Cardiopatías congénitas. En: Cruz M. Compendio de pediatría. La Habana: Ciencias Médicas; 2006. p. 458-62.

  4. Marelli AJ, Mackie AS, Ionescu-Ittu R, Rahme E, Pilote L. Congenital heart disease in the general population. Changing prevalence and age distribution. Circulation 2007; 115:163-172.

  5. Kuczkowski KM, Zundert A. Anesthesia for pregnant women with valvular heart disease: the state of the art. J Anesth 2007; 21:252-257.

  6. Goldszmidt E, Macarthur A, Silversides C, Colman J, Sermer M, Siu S. Anesthetic management of a consecutive cohort of women with heart disease for labor and delivery. Int J Obstet Anesth 2010; 19:266-272.

  7. Elkayam U. Pregnancy and cardiovascular disease. En: Braunwald E, editor. Heart disease. A textbook of cardiovas-cular medicine, 8th ed. Philadelphia: Saunders, 2007; 1969-1970.

  8. Camargo FM, Sarquis TA. Manejo perioperatorio de la pa-ciente embarazada con enfermedad cardiaca. Rev Col Anest 2006;34:49-54.

  9. Hoffman J: Tetralogy of Fallot with pulmonary atresia. En: Hoffman J, ed. The Natural and Unnatural History of Conge-nital Heart Disease. West Sussex: Wiley-Blackwell; 2009. pp. 437-445.

  10. Child JS. Fallot’s tetralogy and pregnancy: prognostication and prophecy. J Am Coll Cardiol 2004; 44:181-183.

  11. Gelson E, Gatzoulis M, Steer PJ, Lupton M, Johnson M. Te-tralogy of Fallot: maternal and neonatal outcomes. BJOG 2008;115:398-402.

  12. Veldman GR, Conolly HM, Groger M, Ammash NM, Warnes CA. Outcomes of pregnancy in women with tetralo-gy of Fallot. J Am Coll Cardiol 2004; 44:174-180.

  13. Larsen-Disney P, Price D, Meredith I. Undiagnosed maternal Fallot tetralogy presenting in pregnancy. Aust NZ J Obstet-Gynaecol 1992; 32:169-171.

  14. Hernández YI, Pulido LE, Castro JA. Cardiopatías congénitas y embarazo. Rev Col Anesth 2001; 29:13.

  15. Van Mook W, Peeters L. Severe cardiac disease in pregnan-cy. Part II: Impact of the congenital and acquired cardiac dis-eases during pregnancy. Curr Opin Crit Care 2005; 11:435-448.

  16. Siu SC, Colman JM. Heart disease and pregnancy. Heart 2001; 85:710-715.

  17. Fallot A. Contribution a l’anatomie pathologique de la mala-die bleue (cyanose cardiaque). Marseille Medicale. 1888: 71- 93, 138-158, 207-223, 270-286 y 341-354.

  18. Abbott ME. Atlas of congenital cardiac disease. New York: American Heart Association; 1936.

  19. Stensen N. Embryo monstro affinis Parisiis dissectus. Acta medica et philosophica Hafniencia 1673; 1: 202-203. En: Maar V, Stenonis Nicolai. Opera philosophica. Copenhagen. 1910; 2: 49-53.

  20. Hunter W. Three cases of malformation of the heart. In: Ca-dell T. Medical observations and inquiries, vol. 6. Society of Physicians in London; 1784.

  21. Van Praagh R. The First Stella Van Praagh memorial lecture: the history and anatomy of tetralogy of Fallot. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2009; 12: 19-38.

  22. Berastegui García, Elisabet, et al. Tetralogía de Fallot: rescate evolutivo del remodelado ventricular derecho tras la sustitu-ción valvular pulmonar. 2012.

  23. Torres LG, Iñigo CA, Espinoza MA, Bárbara AM, Marín B, Gómez JR. Embarazo y tetralogía de Fallot con y sin correc-ción quirúrgica. Ginecol Obstet Mex 2010; 78:309-315.

  24. Veldman GR, Conolly HM, Groger M, Ammash NM, Warnes CA. Outcomes of pregnancy in women with tetralo-gy of Fallot. J Am Coll Cardiol 2004; 44:174-180.

  25. Navarro-Zarza JE, Cortez-Carrera E, Tello-Divicino TL, Ojendis-Acalco A.Embarazo y tetralogía de Fallot sin correc-ción quirúrgica. Reporte de un caso. Ginecol Obstet Mex 2013; 81:409-413.




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