Abstract
A 20-year-old woman with cyanotic congenital heart disease composed of corrected transposition of the great vessels, severe pulmonic stenosis, atresia of the left pulmonary artery and a large ventricular septal defect, had a successful pregnancy following a pulmonary-systemic shunt (Blalock-Taussig). The hemoglobin decreased from 21 to 16 g/dL following the operation. The antepartum course was complicated by intrauterine growth retardation and pregnancy-induced hypertension. A normal fetal nonstress test and biophysical profile permitted continuation of the pregnancy until 38 weeks' gestation, with delivery of a healthy infant.
MeSH terms
-
Abnormalities, Multiple / surgery*
-
Adult
-
Female
-
Fetal Growth Retardation / diagnosis
-
Fetal Growth Retardation / etiology*
-
Fetal Monitoring
-
Heart Septal Defects, Ventricular / complications
-
Heart Septal Defects, Ventricular / surgery*
-
Hemoglobins / analysis
-
Humans
-
Hypertension / blood
-
Hypertension / diagnosis
-
Hypertension / etiology*
-
Hypertension / therapy
-
Palliative Care*
-
Pregnancy
-
Pregnancy Complications, Cardiovascular / blood
-
Pregnancy Complications, Cardiovascular / diagnosis
-
Pregnancy Complications, Cardiovascular / etiology*
-
Pregnancy Complications, Cardiovascular / therapy
-
Pregnancy Outcome
-
Pulmonary Atresia / complications
-
Pulmonary Atresia / surgery*
-
Pulmonary Valve Stenosis / complications
-
Pulmonary Valve Stenosis / congenital
-
Pulmonary Valve Stenosis / surgery*
-
Transposition of Great Vessels / complications
-
Transposition of Great Vessels / surgery*