Rare case of Pregnancy with Total Anomalous Pulmonary Venous Connection (TAPVC)

Bangal, Vidyadhar B; Gupta, Kanika; Gavhane, Satyajit P.; Gangapurwala, Sonika

doi:10.7439/ijbr.v5i2.520

Cited by 4 publications

(4 citation statements)

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“…The safety of termination of pregnancy by medical or surgical methods in a case of TAPVC has not been elucidated given the paucity of cases. But there has been a similar report of termination of pregnancy in a case of TAPVC by medical method by Bangal et al 3 However, both medical and surgical method proved safe in our patient.There has been one successful caesarean section delivery in a case of TAPVC delivering a 1.05 kg baby with good Apgar at 29 weeks of gestation by Kandasamy…”

Section: Discussionsupporting

confidence: 63%

A conception with congenitally complicated connection: a rare case of pregnancy with total anomalous pulmonary venous connection

Priyadarsene

Mahalakshmi²,

Sangeetha³

2022

Int J Reprod Contracept Obstet Gynecol

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Total anomalous pulmonary venous connection (TAPVC) is a congenital cyanotic heart disease characterized by abnormal communication of pulmonary veins into the right atrium rather than into the left atrium leading to mixture of oxygenated and deoxygenated blood. Uncorrected TAPVCs do not survive till adulthood and pregnancy in patients with TAPVC is extremely rare. In patients with TAPVC, the heart cannot withstand the hemodynamic changes associated with pregnancy and hence termination of pregnancy in the first trimester is often required. Here we reported an extremely rare case of pregnancy in a patient with uncorrected TAPVC, terminated successfully in our institute without any complication.

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Section: Discussionsupporting

confidence: 63%

A conception with congenitally complicated connection: a rare case of pregnancy with total anomalous pulmonary venous connection

Priyadarsene

Mahalakshmi²,

Sangeetha³

2022

Int J Reprod Contracept Obstet Gynecol

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“…Uncorrected TAPVCs do not survive till adulthood. Pregnancy in patients with TAPVC is extremely rare and often an indication for termination of pregnancy since hemodynamic changes in pregnancy, 4 such as increased cardiac output and heart rate are not tolerated in patients with TAPVC. Present case here survived up to adulthood and delivered successfully at our institution.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Case of Total Anomalous Pulmonary Venous Connection in Pregnancy

Mehta¹,

Vishwanath²,

Anitha³

et al. 2017

Journal of South Asian Federation of Obstetrics and Gynaecology

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Total anomalous pulmonary venous connection (TAPVC) is a rare congenital anomaly of the heart in which there is an absence of direct communication between the pulmonary veins and the left atrium, resulting in a mixture of oxygenated and deoxygenated blood in the right atrium. It is often associated with atrial septal defect or with transposition of great arteries, pulmonary atresia, truncus arteriosus, or single ventricle. The factors determining the severity are the severity of pulmonary venous obstruction and the restriction of interatrial communication. Uncorrected TAPVC rarely survives up to adulthood. Pregnancy in a patient with TAPVC is very rare unless surgically corrected in childhood. It often requires termination of pregnancy in first trimester as the heart cannot withstand the hemodynamic changes associated with pregnancy. We report a very rare case of pregnancy in a patient with uncorrected TAPVC, delivered successfully in our hospital without any complications.

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“…Cardiac output rises up to 100% during the third trimester 5 , and it is therefore common for pregnant women to develop symptoms associated with otherwise silent congenital malformations. Pregnancy-associated TAPVC is rare and is even considered an indication for pregnancy termination 7 . The fact that this patient had undergone two pregnancies and eutocic deliveries during which she remained asymptomatic and undiagnosed stands out.…”

Section: Correspondencementioning

confidence: 99%