Key result
Elective Cesarean delivery under epidural anesthesia in a 36-year-old pregnant woman with Double Outlet Right Ventricle resulted in a successful delivery without maternal or fetal complications.
Why the study?
Double outlet right ventricle during pregnancy is rare and complicated, prompting the report of a successful pregnancy and delivery.
Case Report (n=1)
No
Answers are grounded in this paper and cite their sources.
Successful cesarean delivery with favorable maternal and fetal outcomes is possible in pregnant patients with previously undiagnosed double outlet right ventricle.
Present a case of a successful pregnancy in a patient with Double Outlet Right Ventricle (DORV). A case report of 36 year old pregnant woman with DORV that underwent Cesarean Delivery in University Airlangga Hospital Suurabaya. Participant: A pregnant 36-year-old patient with a DORV. This patient does not aware if she has Cardiac Disease but patient often complaining easy fatigability after doing light work and developed cardiac symptoms, such as dyspnea since 28 weeks Age of Gestation. Once the symptoms developed, patient was referred to Secondary hospital in Bojonegoro, echocardiography was done and patient was diagnosed with DORV. Since DORV is rare case and complicated, after that patient referred to Airlangga Hospital for further evaluation and treatment. Patient was admitted for 9 days, corticosteroid for lung maturity was given and underwent elective C-Section under epidural anesthesia on 34/35 age of gestation. Course in the ward was unremarkable and patient was discharged post operative day 3. This patient was diagnosed with DORV Subaortic Type and underwent cesarean delivery without complication and delivered baby boy without any congenital anomaly from physical examination. The systemic circulation from this patient was balanced until third trimester because the increase of blood volume.
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Wonodihardjo et al. (2021) conducted a case report in Pregnancy with Double Outlet Right Ventricle (DORV) (n=1). Cesarean delivery under epidural anesthesia was evaluated on Maternal and fetal outcome. Elective Cesarean delivery under epidural anesthesia in a 36-year-old pregnant woman with Double Outlet Right Ventricle resulted in a successful delivery without maternal or fetal complications.
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