Key result
Multidisciplinary care enables successful delivery in uncorrected Tetralogy of Fallot with pulmonary atresia and MAPCAs.
Why the study?
Tetralogy of Fallot is a severe congenital heart disease and a leading indirect cause of mortality and morbidity among women with congenital heart disease, posing challenges during pregnancy.
Case Report (n=1)
No
Multidisciplinary cardio-obstetric care can enable successful maternal and fetal outcomes in extremely high-risk pregnancies complicated by uncorrected Tetralogy of Fallot with pulmonary atresia and MAPCAs.
BACKGROUND: Tetralogy of Fallot is a severe type of congenital heart disease (CHD) and one of the leading indirect causes of mortality & morbidity among women with CHD. We came across a rare case of an uncorrected Tetralogy of Fallot with pulmonary atresia and major aortopulmonary collateral arteries in pregnancy. CASE PRESENTATION: We are reporting the challenges in managing a pregnancy of 25-years-old G3 P0110, previous one stillbirth and who was diagnosed to have congenital heart disease during pregnancy following spontaneous abortion. CONCLUSIONS: This case report highlights the role of multidisciplinary care in managing such a high risk case. It also emphasizes the role of cardiac examination of every woman before pregnancy so that definitive treatment or optimization can be done in time for a better outcome.
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Thakur et al. (2023) conducted a case report in Uncorrected Tetralogy of Fallot with pulmonary atresia and major aorta-pulmonary collateral arteries (MAPCA) in pregnancy (n=1). Multidisciplinary cardio-obstetric management was evaluated. A 25-year-old pregnant woman with uncorrected Tetralogy of Fallot, pulmonary atresia, and major aortopulmonary collateral arteries successfully delivered a live baby under multidisciplinary care.
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