Pregnancy and the univentricular heart: case report and literature review

Buckland, Rosalyn; Pickett, J.A.

doi:10.1054/ijoa.1999.0341

Cited by 10 publications

(7 citation statements)

References 38 publications

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“…27 In this case, general anaesthesia was preferred as it allowed greater control of the systemic vascular resistance. 28 Furthermore, regional anaesthesia was deemed unsuitable for our patient in view of her multiple prolapsed intervertebral discs and history of cortical arteriovenous malformation. Routine antibiotics are not recommended for most mothers with heart disease; however, our patient was given three days of intravenous antibiotics peripartum in view of her history of infective endocarditis and her right-to-left shunt.…”

Section: Discussionmentioning

confidence: 99%

A case of successfully managed pregnancy in a patient with complex cyanotic congenital heart disease

Liu

Tan

et al. 2016

Obstet Med

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Medical advances have increased survival of patients with congenital heart disease. However, cardiac disease in pregnancy carries significant maternal and fetal risks, posing enormous challenges to obstetricians. Cyanotic congenital heart disease is associated with maternal complications such as arrhythmias, thromboembolic events and death. Fetal complications include small for gestational age, miscarriage and prematurity. Cyanotic congenital heart disease patients who continue their pregnancies require holistic multidisciplinary team care with early and coordinated planning for delivery. Management of such patients include early counseling regarding pregnancy-associated risks, close monitoring of their cardiac function and regular scanning for fetal assessment. Choice of anesthesia for these patients requires meticulous planning to achieve a favorable balance between systemic and pulmonary vascular resistance, ensuring minimal change in right-to-left shunting. We report a case of a successfully managed pregnancy in a patient with complex congenital heart disease and a single ventricle of left ventricle morphology.

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Section: Discussionmentioning

confidence: 99%

A case of successfully managed pregnancy in a patient with complex cyanotic congenital heart disease

Liu

Tan

et al. 2016

Obstet Med

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“…Regarding the benefit of surgery for pregnancies in UVH patients, Buckland and Pickett [9] have reviewed the outcomes for pregnancy of 11 UVH patients who received the Fontan procedure for various types of UVHs before 2000. It was found that the pregnant patients with Fontan repair had good prognosis.…”

Section: Discussionmentioning

confidence: 99%

“…In the current study, we conducted a literature research and review for the pregnancy in UVH patients since 2000. To our best knowledge, a total of 9 cases of pregnancy in UVH patients have been reported since 2000 [1,2,[9][10][11][12][13], the results are summarized in Table 1. Except for one case [12] that showed severe maternal symptoms and obvious fetal growth delay with oligohydramnios and received a termination of pregnancy at 27-week gestation, all of the other 8 cases had a good outcome for both mother and fetus.…”

Section: Discussionmentioning

confidence: 99%

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

Wang

Luo

Xin³

et al. 2015

International Journal of Cardiology

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“…Furthermore, appropriate postoperative analgesia contributes a lot to avoiding the catecholamine secretion that increases PVR, reduces pulmonary blood flow, and results in severe cyanosis. [26] Since spinal anesthesia provides a reliable analgesic effect, and the epidural catheter is retained to maintain the anesthesia while extending the surgical time, the combined spinal epidural anesthesia method was chosen. Since regional anesthesia can cause systemic hypotension, fluid infusion was administered in advance, and invasive BP monitoring was performed before anesthesia.…”

Section: Outcomementioning

confidence: 99%

Anesthetic management for cesarean section in parturient with an uncorrected single ventricle

Yang-Liu²,

Chen

et al. 2022

Medicine

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Rationale:Patients with a single ventricle, who have not undergone surgery, reportedly have a lower survival rate. Furthermore, multiple pregnancies are rare among these females. We reported a case of anesthesia management of cesarean section in an uncorrected single-ventricular multi-pregnancy woman and review the anesthesia management of the published similar cases.Patient concerns:An uncorrected single ventricular pregnant woman with a cardiac function of New York Heart Association class II, who had experienced one spontaneous abortion and three vaginal deliveries, was scheduled for cesarean section at 37+6 weeks of gestation.Diagnoses: Echocardiography revealed a complex congenital heart disease in the mother: a single ventricle (the left ventricle is dominant), atrioventricular valve ectopic, double-inlet left ventricle, abnormal location of the great arteries, probably pulmonary stenosis, atrial septal defect, and left-to-right shunt. The fetus was in breech presentation with umbilical cord around the neck.Interventions:Cesarean section was successfully performed under the combined spinal epidural anesthesia with careful monitoring.Outcomes: Both mother and newborn recovered good and were discharged from the hospital 5 days after surgery without any adverse reactions.Lessons:Single ventricular pregnant woman with a cardiac function of New York Heart Association class I–II could tolerate pregnancy and delivery well. Both general and regional anesthesia are applicable to cesarean section in these patients. The principle of anesthesia management is to maintain the appropriate balance between systemic vascular resistance and pulmonary vascular resistance, as well as to maintain preload and cardiac output.

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Pregnancy and the univentricular heart: case report and literature review

Cited by 10 publications

References 38 publications

A case of successfully managed pregnancy in a patient with complex cyanotic congenital heart disease

A case of successfully managed pregnancy in a patient with complex cyanotic congenital heart disease

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

Anesthetic management for cesarean section in parturient with an uncorrected single ventricle

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