Successful Management of Pregnancy in Uncorrected Tetralogy of Fallot with Pulmonary Atresia

Agarwal, Nutan; Gupta, Monica; Singh, Nilanchali; Kachhawa, Garima; Kriplani, Alka

doi:10.1007/s13224-015-0677-x

Cited by 5 publications

(5 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This case involves an 18-year-old woman with an unintended pregnancy and uncorrected ToF, presenting with complaints of shortness of breath during moderate activity since the third trimester of gestation. [4][5][6] The application of a modified WHO classification (mWHO), which categorizes risk variables into four stages ranging from negligible risk of cardiovascular problems (WHO I) to prohibitively high risk of maternal death or severe morbidity (WHO IV), is one method of incorporating risk factors into published classifications. Utilizing predictors identified in large populations with various illnesses, such as the CARPREG (CARDiac disease in PREgnancy), ZAHARA, and ROPAC (Registry Of Pregnancy And Cardiac disease) Studies, could further enhance risk assessment.…”

Section: Discussionmentioning

confidence: 99%

Successful Pregnancy in Uncorrected Tetralogy of Fallot with Right Aortic Arch: An Interdisciplinary Team Approach

Iqda Milisani,

Yogibuana Swastika Putri

2024

HSJ

View full text Add to dashboard Cite

Background: Tetralogy of Fallot (ToF) is the most common cyanotic disorder, with a global prevalence of congenital heart disease nearly reaching 10%. The anomalies observed in individuals with ToF result from the anterior and cephalad displacement of the infundibular (outflow tract) component of the interventricular septum. ToF continues to be a significant contributor to maternal morbidity, mortality, and adverse outcomes in newborns with the condition. Case presentation: An 18-year-old woman in her 28th week of pregnancy was referred to our tertiary referral center, Saiful Anwar Hospital, diagnosed with uncorrected Tetralogy of Fallot (TOF), which had been noticed since she was 2 years old. At that time, her parents refused treatment. She became pregnant unexpectedly and was then directed to RSSA for further management. Conclusion: We present a successful case of pregnancy in a woman who has not undergone surgical repair for ToF. An interdisciplinary pregnancy heart team, including a cardiologist, obstetrician, anesthesiologist, midwives, and neonatologists at our tertiary hospital, developed a care plan based on an individualized assessment of the patient's comorbidities and ToF. The life expectancy of this pregnant woman and her baby is higher with a team approach. The choice of contraception and family planning should be part of the discussion and follow-up from the teenage years, allowing patients with ToF to control their fertility and make informed decisions about having children.

show abstract

Section: Discussionmentioning

confidence: 99%

Successful Pregnancy in Uncorrected Tetralogy of Fallot with Right Aortic Arch: An Interdisciplinary Team Approach

Iqda Milisani,

Yogibuana Swastika Putri

2024

HSJ

View full text Add to dashboard Cite

show abstract

“…[ 3 14 ] There are reports describing favorable feto-maternal outcome among uncorrected TOF patients with intensive obstetric, anesthetic, and cardiac care. [ 3 15 16 ] Our patient was unique as she received no medical attention till she presented with PPH, heralding cardiogenic shock. This also highlights dismal healthcare access and awareness among poor tribal people of the region.…”

Section: Discussionmentioning

confidence: 99%

A unique case of uncorrected Fallot's tetralogy with nasal dermoid cyst and median cleft lip presenting during postpartum

Chatterjee¹,

Ojha²,

Chavan³

et al. 2022

Journal of Family Medicine and Primary Care

View full text Add to dashboard Cite

While tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease among children, its first presentation in the third decade of life just after successful pregnancy outcome is extremely rare. In fact, survival of both child and mother having uncorrected TOF after noninstitutional delivery is unheard of. Herein, authors report a case of previously undiagnosed TOF associated with other midline congenital abnormalities, that is, nasal dermoid cyst and cleft palate, who presented for the first time with postpartum hemorrhage after an unsupervised home birth. To the best of our knowledge, this unique association has never been described before.

show abstract

“…It is controversial to use uterotonic drugs in patients with uncorrected ToF who underwent CS, either uterotonic use was avoided 4 or methylergonovine was used, 9 because perioperative myocardial ischemia and post-operative death due to Eisenmenger’s syndrome were reported when methylergonovine was used. 9 Since oxytocin was used for labor induction uneventfully in the pregnancy management of an uncorrected ToF case, 3 we similarly used iv oxytocin infusion after delivery with careful titration due to its potential risk to decrease SVR. Hereby, SVR restoration after oxytocin was achieved by noradrenaline.…”

Section: Discussionmentioning

confidence: 99%

“… 2 A couple of cases with uncorrected ToF for vaginal delivery and low-dose combined spinal epidural (CSE) for caesarean delivery have been reported. 3 , 4 We aimed to present management of a high-risk parturient with uncorrected ToF who underwent caesarean section (CS) by addressing the challenges in the anaesthesia management based on the advanced haemodynamic monitoring.…”

Section: Introductionmentioning

confidence: 99%

Management of an Uncorrected Tetralogy of Fallot for Caesarean Section Using Low-Dose Combined Spinal Epidural Anaesthesia Under Advanced Haemodynamic Monitorization

Emmez

Keskin

Arabacı

et al. 2022

Turk J Anaesthesiol Reanim

View full text Add to dashboard Cite

Since management of parturients with uncorrected tetralogy of Fallot reported until now lacks advanced cardiac haemodynamic monitoring, we aimed to present anaesthetic management of a parturient with uncorrected tetralogy of Fallot scheduled for caesarean section by addressing the challenges in the management based on the advanced haemodynamic monitoring due to the expected high-risk maternal morbidity and mortality in this particular case. Hereby, we provided haemodynamic stability with little requirement for vasopressor medication by using low-dose combined spinal epidural anaesthesia in a parturient with uncorrected tetralogy of Fallot scheduled to undergo caesarean delivery.

show abstract

Successful Management of Pregnancy in Uncorrected Tetralogy of Fallot with Pulmonary Atresia

Cited by 5 publications

References 6 publications

Successful Pregnancy in Uncorrected Tetralogy of Fallot with Right Aortic Arch: An Interdisciplinary Team Approach

Successful Pregnancy in Uncorrected Tetralogy of Fallot with Right Aortic Arch: An Interdisciplinary Team Approach

A unique case of uncorrected Fallot's tetralogy with nasal dermoid cyst and median cleft lip presenting during postpartum

Management of an Uncorrected Tetralogy of Fallot for Caesarean Section Using Low-Dose Combined Spinal Epidural Anaesthesia Under Advanced Haemodynamic Monitorization

Contact Info

Product

Resources

About