Abstract:When a woman with Ebstein's anomaly reaches childbearing age, fertility is not affected, even in cyanotic women. Under close supervision by the woman's obstetrician and cardiologist, the pregnancy outcome is usually favorable.
“…3). In isolated lesion outcome is usually favorable but depends on the degree of tricuspid regurgitation and RV function [54][55][56]. RV failure can be related to increased CO. Paradoxical emboli and hypoxemia may be due to increased R-L shunt by increase in RV filling pressure in the presence of an associated ASD.…”
Section: Specific Echocardiographic and Clinical Aspectsmentioning
Congenital heart disease represent a large proportion of heart disease in pregnancy. With the exception of patients with Eisenmenger's syndrome, pulmonary vascular obstructive disease, and Marfan's syndrome with aortopathy, maternal death during pregnancy is rare in women with CHD but morbidity occurs such as heart failure, arrhythmias, and stroke. Echocardiography represents a milestone in diagnosis, understanding of pathophysiology, assessment of disease severity and patient monitoring in pregnant women with unoperated and post-operative congenital heart disease.
“…3). In isolated lesion outcome is usually favorable but depends on the degree of tricuspid regurgitation and RV function [54][55][56]. RV failure can be related to increased CO. Paradoxical emboli and hypoxemia may be due to increased R-L shunt by increase in RV filling pressure in the presence of an associated ASD.…”
Section: Specific Echocardiographic and Clinical Aspectsmentioning
Congenital heart disease represent a large proportion of heart disease in pregnancy. With the exception of patients with Eisenmenger's syndrome, pulmonary vascular obstructive disease, and Marfan's syndrome with aortopathy, maternal death during pregnancy is rare in women with CHD but morbidity occurs such as heart failure, arrhythmias, and stroke. Echocardiography represents a milestone in diagnosis, understanding of pathophysiology, assessment of disease severity and patient monitoring in pregnant women with unoperated and post-operative congenital heart disease.
“…Ebstein's anomaly is a rare congenital malformation with an incidence of one in 200 00 live births [1,2]. Ebstein's anomaly is characterized by apical displacement of the septal leaflet of the tricuspid valve, which is accompanied by regurgitation, and a distal functional small right…”
Although pregnancy was relatively safe among women with Ebstein's anomaly, some women developed cyanosis, arrhythmia, and heart failure, leading to elective cesarean section. Monitoring clinical and hemodynamic changes throughout pregnancy is advised to minimize maternal cardiac risk and select the appropriate mode of delivery.
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