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July 30, 2018Biomedical Journal of Scientific & Technical ResearchOpen Access

A 28-year-old woman with complete transposition of the great arteries after an atrial switch operation successfully delivered at 38 weeks but developed postpartum heart failure that resolved with medical management.

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Population

1 pregnant woman with congenital complete transposition of the great arteries who had undergone Senning's…

Design

Case_report

Follow-up

8 days postpartum

Key result

A 28-year-old woman with complete transposition of the great arteries after an atrial switch operation successfully delivered at 38 weeks but developed postpartum heart failure that resolved with medical management.

Authors

HCHyun Hwa ChaKyungpook National University Hospital

Discussion

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Overview

Supports individualized pregnancy management in d-TGA post-atrial switch with multidisciplinary care; leaves open generalizability and optimal risk protocols.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A 28-year-old pregnant woman with congenital complete transposition of the great arteries who had previously undergone an atrial switch operation.
E
Exposure
Multidisciplinary management including cessation of ACE inhibitor during pregnancy, cesarean delivery at 38 1/7 weeks, and postpartum treatment for heart failure (oxygen, diuretics, ACE inhibitor).

Pregnancy in patients with d-TGA after atrial switch operation can be successfully managed with careful multidisciplinary obstetrical and cardiologic care, despite the risk of postpartum heart failure.

Limitations

  • Case report with a single patient
  • Rarity of the condition limits generalizability

Cite This Study

Hyun Hwa (2018) conducted a case report in Congenital complete transposition of great arteries (d-TGA) after atrial switch operation (ASO) in pregnancy (n=1). Pregnancy and postpartum medical management was evaluated on Maternal and fetal clinical outcomes. A 28-year-old woman with complete transposition of the great arteries after an atrial switch operation successfully delivered at 38 weeks but developed postpartum heart failure that resolved with medical management.

synapsesocial.com/papers/6a99e13d5b5cd9ea34aa7434https://doi.org/10.26717/bjstr.2018.07.001491
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