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Repeated pregnancies in uncorrected double outlet right ventricle: a rare occurrence

Published online by Cambridge University Press:  16 March 2021

Seema Sheokand
Affiliation:
Department of Obstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Rohit Manoj Kumar
Affiliation:
Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Divya Jain
Affiliation:
Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Pooja Sikka*
Affiliation:
Department of Obstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
*
Author for correspondence: Pooja Sikka, Department of Obstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh160012, India. Tel: +91-8146553265; Fax: +91-172-2744401. E-mail: [email protected]

Abstract

Pregnancy in a woman with double outlet right ventricle, ventricular septal defect, and pulmonary stenosis is presented. Her previous two pregnancies ended in fetal losses. In the current pregnancy, she had thrombocytopenia, placenta previa, and severe fetal growth restriction. She underwent an emergency caesarean section followed by post-partum haemorrhage and COVID-19 infection. Literature review has been performed.

Type
Brief Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Samanek, M. Children with congenital heart disease: probability of natural survival. Pediatr Cardiol 1992; 13: 152158.Google ScholarPubMed
Regitz-Zagrosek, V, Roos-Hesselink, JW, Bauersachs, J, et al ESC scientific document group. 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy. Eur Heart J 2018; 39: 31653241.CrossRefGoogle Scholar
Salame-Waxman, D, Escudero-Salamanca, M, Espinola-Zavaleta, N. Successful pregnancy in a patient with double outlet right ventricle. Cardiol Young 2020; 30: 594596.CrossRefGoogle Scholar
Tilak, KM, Wankhede, UN. A case of an uncorrected double outlet right ventricle with ventricular septal defect in pregnancy. Int J Reprod Contracept Obstet Gynecol 2019; 8: 38053807.CrossRefGoogle Scholar
Rahman, J, Rahman, MS, Al-Suleiman, SA, Al-Jama, FE. Pregnancy complicated by maternal cardiac disease: a review of 274 patients. J Obstet Gynaecol 2000; 20: 242245.CrossRefGoogle ScholarPubMed
McFaul, PB, Dornan, JC, Lamki, H, Boyle, D. Pregnancy complicated by maternal heart disease. A review of 519 women. Br J Obstet Gynaecol 1988; 95: 861867.CrossRefGoogle ScholarPubMed
Presbitero, P, Somerville, J, Stone, S, Aruta, E, Spiegelhalter, D, Rabajoli, F. Pregnancy in cyanotic congenital heart disease. Outcome of mother and fetus. Circulation 1994; 89: 26732676.CrossRefGoogle ScholarPubMed
Lill, MC, Perloff, JK, Child, JS. Pathogenesis of thrombocytopenia in cyanotic congenital heart disease. Am J Cardiol 2006; 98: 254258.CrossRefGoogle ScholarPubMed
Cauldwell, M, Von Klemperer, K, Uebing, A et al. Why is post-partum haemorrhage more common in women with congenital heart disease? Int J Cardiol 2016; 218: 285290.CrossRefGoogle ScholarPubMed
Song, YB, Park, SW, Kim, JH, et al. Outcomes of pregnancy in women with congenital heart disease: a single center experience in Korea. J Korean Med Sci 2008; 23: 808813.CrossRefGoogle ScholarPubMed
Gu, J, Cai, Y, Liu, B, Lv, S. Anesthetic management for cesarean section in a patient with uncorrected double-outlet right ventricle. Springerplus 2016; 5: 415.CrossRefGoogle Scholar
National Institute for Health and Care Excellence Intrapartum care for women with existing medical conditions or obstetric complications and their babies (NICE guideline 121), 2019. Retrieved January 17 2021; from https://www.nice.org.uk/guidance/ng121 Google Scholar