Key result
Pregnant woman with unrepaired pulmonary atresia and VSD survives severe postpartum hemorrhage and ischemic stroke.
Why the study?
Survival into adulthood without surgical repair for pulmonary atresia with ventricular septal defect is rare, and pregnancy in unrepaired cyanotic congenital heart disease carries extreme maternal and fetal risk.
Population
A 22-year-old woman at 32 weeks gestation with unrepaired pulmonary atresia and ventricular septal defect
Design
Case report
Follow-up
six-month
Authors
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Alerts clinicians to peripartum risks in unrepaired defects; leaves open need for registries to guide care.
Case Report (n=1)
Pregnancy in women with unrepaired complex cyanotic congenital heart disease carries extreme risks, requiring multidisciplinary management and vigilant postpartum care.
Muhali et al. (2026) conducted a case report in Complex Cyanotic Congenital Heart Disease (Pulmonary atresia with ventricular septal defect) (n=1). Pregnancy was evaluated. A 22-year-old pregnant woman with unrepaired pulmonary atresia and ventricular septal defect survived severe complications including postpartum haemorrhage and ischaemic stroke, remaining stable at 6 months.
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