Highlights the clinical challenge of managing pregnancy in a patient with uncorrected tetralogy of Fallot, a rare scenario given the low natural survival rate into adulthood.
Rare uncorrected TOF pregnancy case underscores need for individualized care; leaves open systematic outcome data before practice implications.
Tetralogy of Fallot (TOF) is the commonest form of cyanotic congenital heart disease, with overall incidence accounting for 10% of all congenital heart disease. Natural survival into the fourth decade is extremely rare (only about 3%). After corrective surgery, the life expectancy has increased, so increasing number of women with cyanotic congenital heart disease with pregnancy are coming to hospitals, thereby imposing a great challenge to obstetricians. We have discussed below a rare case of pregnancy with uncorrected TOF in a 24 year old woman.
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Pandey et al. (2013) studied this question.
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