Key result
A 23-year-old pregnant woman with uncorrected tetralogy of Fallot and severe pulmonary hypertension was successfully managed with a multidisciplinary approach and elective cesarean section.
Why the study?
Uncorrected tetralogy of Fallot is a major source of maternal morbidity and mortality during pregnancy, and natural survival into adulthood is rare.
Case Report (n=1)
No
A multidisciplinary approach can enable successful pregnancy outcomes in women with uncorrected Tetralogy of Fallot and severe pulmonary hypertension.
Supports cautious consideration of pregnancy under multidisciplinary care in uncorrected TOF with severe PH; leaves open need for systematic evidence.
Tetralogy of Fallot (ToF) is the most frequent kind of cyanotic congenital heart disease beyond the age of one year, accounting for around 10% of all congenital heart disease cases. Natural (non-corrective) survival into the fourth decade is quite unusual (3 %). There are various physiological and heamodynamic changes that occur in pregnancy, which makes causes complications in pregnancy and delivery in already compromised women, including women with uncorrected ToF. ToF is still a major source of maternal morbidity (62%) and even fatality (10%) in ToF patients, and it has a considerable impact on foetal outcome. Discussed below a case of pregnancy in a 26-year-old woman with uncorrected ToF, was diagnosed to have pulmonary hypertension, was admitted for safe confinement. She was taken up for elective LSCS with due risk and was later shifted to ICU for further management.
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Kumari et al. (2022) conducted a case report in Pregnancy with uncorrected tetralogy of Fallot and pulmonary hypertension (n=1). Multidisciplinary management and elective lower segment cesarean section was evaluated on Maternal and fetal outcome. A 23-year-old pregnant woman with uncorrected tetralogy of Fallot and severe pulmonary hypertension was successfully managed with a multidisciplinary approach and elective cesarean section.
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