Key result
A previously asymptomatic woman with uncorrected Ebstein's anomaly experienced remarkable hemodynamic deterioration during the postpartum period despite a successful pregnancy and cardiac surgery.
Case Report (n=1)
Asymptomatic women with Ebstein's anomaly may experience severe postpartum hemodynamic deterioration and should be evaluated for corrective surgery prior to pregnancy.
Postpartum deterioration may occur in asymptomatic Ebstein's anomaly; this case leaves open whether pre-pregnancy correction improves outcomes.
Ebstein's anomaly is a rare congenital cardiac malformation that is characterized by abnormalities of the tricuspid valve and right ventricle. Pregnancy is usually well tolerated unless cyanosis or arrhythmia develops. We report a case with Ebstein's anomaly, whose condition was asymptomatic before pregnancy but remarkably deteriorated down during the postpartum period, even though a successful pregnancy and cardiac surgery were achieved. Women with Ebstein's anomaly should be carefully assessed and may need to be advised to have corrective surgery prior to pregnancy even if they were asymptomatic.
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Kimura et al. (2012) conducted a case report in Ebstein's anomaly (n=1). Pregnancy and cardiac surgery was evaluated on Hemodynamic deterioration. A previously asymptomatic woman with uncorrected Ebstein's anomaly experienced remarkable hemodynamic deterioration during the postpartum period despite a successful pregnancy and cardiac surgery.
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