Pregnancy and delivery by caesarean section in a patient with transposition of the great arteries and single ventricle. Case report

Successful pregnancy and delivery in patients with uncorrected single ventricle: Three new cases and literature review

“…Therefore, these patients had good outcomes. Consistently, as shown in Table 2, almost all of the previously reported 15 cases of successful pregnancy in patient with uncorrected UVH [4,[15][16][17][18][19][20][21][22]29] was achieved in the absence of pulmonary hypertension and cardiac failure, except the case reported by Mandel & Hirsch [4]. However, almost all of them indeed suffered from maternal cardiac complications such as dyspnea, cyanosis, even pulmonary edema [22] and retinal artery thromboembolism [29].…”

“…These results encouraged us to further review the outcome for pregnancy in UVH patient without surgical correction in the literature, as summarized in Table 2. Surprisingly, all of the reported cases since 1963 show good outcomes [1,2,4,[10][11][12][13][14][15][16][17][18][19][20][21][22]. It was suggested that UVH is not an absolute contraindication to pregnancy.…”

Pregnancy outcome in women with an uncorrected single ventricle: A single-centre experience from South India

“…2,3 Survival to adulthood is rare in uncorrected cases, with very few achieving successful pregnancy outcome. [2][3][4][5][6][7][8][9][10][11][12][13] Systemic and pulmonary circulations originate from the single ventricle where mixing of saturated and desaturated blood occurs, leading to a varying degree of systemic arterial desaturation. Maladaptation to the haemodynamic changes of pregnancy results in an increased risk of maternal and fetal complications.…”