Key result
Standard therapy resolves post-caesarean acute heart failure revealing corrected transposition of the great arteries.
Case Report (n=1)
Highlights the importance of considering congenital cardiac malformations like cTGA when heart failure symptoms occur during the perinatal period.
BACKGROUND: Corrected transposition of the great arteries (cTGA) is a cardiac malformation in which the ventricular and arterial-ventricular positions in the heart are doubly reversed. In general, this defect puts a load on the systemic circulation and causes heart failure, resulting in a poor prognosis. This article reports a case of cTGA detected in a patient with post-caesarean pregnancy who had undergone elective caesarean section and was experiencing an episode of acute heart failure. CASE SUMMARY: 91% (supine position and room air); the patient was promptly hospitalised for close examination and treatment. Although chest computed tomography revealed the presence of cTGA, no other cardiac malformations were observed. Owing to improvements in both the pedal oedema and pleural effusions, the patient was discharged on day 9. CONCLUSION: Close examination should be performed on the premise of congenital cardiac malformation when heart failure symptoms are noted during perinatal control.
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Ichii et al. (2022) conducted a case report in Corrected transposition of the great arteries (cTGA) and acute heart failure (n=1). Pregnancy and cesarean section was evaluated. A patient with post-caesarean pregnancy experiencing acute heart failure was diagnosed with corrected transposition of the great arteries and discharged on day 9 after treatment.
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