Key result
A 22-year-old pregnant woman with congenitally corrected transposition of the great arteries had a successful full-term pregnancy, with her severe tricuspid regurgitation and pulmonary hypertension improving postpartum.
Case Report (n=1)
No
In a pregnant patient with CCTGA, volume overload during pregnancy caused severe tricuspid regurgitation and pulmonary hypertension, which improved significantly after delivery with conservative management.
Congenitally corrected transposition of the great arteries (CCTGA) is a rare acyanotic heart disease. The evaluation of the hemodynamic alteration, before and after delivery, has been poorly reported. This case report is about a hispanic patient presented in the third trimester of pregnancy with a systolic murmur and a loud second pulmonary sound. Echocardiographic study revealed a CCTGA with dilatation of the morphologically right ventricle (RV), severe regurgitation of the tricuspid valve and secondary pulmonary hypertension without other heart defects. The patient had a full term pregnancy, without any complication before, during or after the childbirth.
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Aboitiz-Rivera et al. (2014) conducted a case report in Congenitally corrected transposition of the great arteries (CCTGA) (n=1). Pregnancy vs. Postpartum period was evaluated on Hemodynamic changes (pulmonary systolic pressure and tricuspid regurgitation). A 22-year-old pregnant woman with congenitally corrected transposition of the great arteries had a successful full-term pregnancy, with her severe tricuspid regurgitation and pulmonary hypertension improving postpartum.
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