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Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
Dextrocardia in pregnancy: 20 years' experience
Tak Yuen Fung1, Daniel Lin Wai Chan, Tse Ngong Leung
1Fetal Medicine Team, Department of Obstetrics and Gynaecology, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, NT, Hong Kong. fungty@ha.org.hk
The Journal of Reproductive Medicine
|August 18, 2006
Summary
Pregnancies in mothers with isolated dextrocardia showed no adverse effects. However, mothers with situs inversus had a higher incidence of small-for-gestational-age (SGA) infants, requiring careful monitoring.
Area of Science:
- Cardiology
- Obstetrics
- Neonatology
Background:
- Dextrocardia, a condition where the heart is on the right side of the chest, can occur in isolation or as part of situs inversus.
- Pregnancy outcomes in women with dextrocardia are not well-documented.
Purpose of the Study:
- To identify pregnancies complicated by maternal dextrocardia.
- To report on obstetric performance and neonatal outcomes in these pregnancies.
Main Methods:
- Retrospective review of deliveries between May 1984 and December 2004.
- Data abstracted from maternal and neonatal records.
Main Results:
- Fifteen singleton pregnancies in 9 patients with dextrocardia were identified (6 with situs inversus, 9 with isolated dextrocardia).
- No antenatal complications or cardiac symptoms were reported.
- All infants had good Apgar scores.
- Four small-for-gestational-age (SGA) infants occurred in the situs inversus group (p < 0.002), but none in the isolated dextrocardia group.
Conclusions:
- Isolated maternal dextrocardia does not negatively impact pregnancy outcomes.
- Situs inversus in pregnancy is associated with an increased risk of SGA infants and warrants close observation.
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