Key result
Pregnancy in patients with surgically corrected tetralogy of Fallot was well tolerated with no serious cardiac complications, and 30 of 31 examined infants were normal.
Why the study?
Is pregnancy safe and well-tolerated in women with surgically corrected tetralogy of Fallot?
Observational (n=27)
Is pregnancy safe and well-tolerated in women with surgically corrected tetralogy of Fallot?
Pregnancy is well tolerated with no serious cardiac complications in women with surgically corrected tetralogy of Fallot who have no major residual defects.
Supports pregnancy counseling in corrected tetralogy of Fallot without major residuals; leaves open confirmation in larger prospective cohorts.
Forty pregnancies have been documented in 27 patients with surgically corrected tetralogy of Fallot. Infertility was uncommon and there were no premature births and few abortions or small-for-dates babies; this suggests that surgery that corrects cyanosis improves the outcome of pregnancy by correcting the fetal environment. Pregnancy was well tolerated and there were no serious cardiac complications. Thirty of the 31 infants examined were normal, the one abnormal infant having pulmonary atresia. A patient with no major residual defects after surgery for tetralogy of Fallot may be reassured that pregnancy will be well tolerated and that delivery may be managed in the normal manner.
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Singh et al. (1982) conducted an observational in Surgically corrected tetralogy of Fallot (n=27). Pregnancy was evaluated on Pregnancy outcomes and maternal cardiac complications. Pregnancy in patients with surgically corrected tetralogy of Fallot was well tolerated with no serious cardiac complications, and 30 of 31 examined infants were normal.
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