Key result
A 24-year-old woman with repaired tetralogy of Fallot, severe dilated cardiomyopathy, and an ICD successfully delivered a healthy infant via planned cesarean section with multidisciplinary care.
Case Report (n=1)
No
Highlights the feasibility and importance of a multidisciplinary approach for successful cesarean delivery in high-risk pregnant patients with complex congenital heart disease and severe cardiomyopathy.
Answers are grounded in this paper and cite their sources.
May support planned cesarean with multidisciplinary care in complex CHD and cardiomyopathy; case reports leave generalizability open.
Repaired congenital heart disease has become more prevalent in women of childbearing age. We report an unusual case of a 24-year-old multigravida with a repaired tetralogy of Fallot, severe dilated cardiomyopathy, and implantable cardioverter defibrillator placement who was managed successfully by a cesarean section three times. This case underscores the impact of such events on maternal and fetal safety and the importance of a multidisciplinary approach in the management of pregnant patients with complex congenital and medical problems.
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Al-Aqeedi et al. (2011) conducted a case report in Pregnancy with severe dilated cardiomyopathy, ICD, and repaired tetralogy of Fallot (n=1). Cesarean section with multidisciplinary management was evaluated on Maternal and fetal outcome. A 24-year-old woman with repaired tetralogy of Fallot, severe dilated cardiomyopathy, and an ICD successfully delivered a healthy infant via planned cesarean section with multidisciplinary care.
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