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Complete endocardial cushion defects in pregnancy: a case report
Xiangjuan Chen, Biru Xiao, Weiyu Yang
1Department of Obstetrics and Gynecology, The First Affiliated Hospital of Wenzhou Medical University, 2# Fuxue Road, Wenzhou 325000, People's Republic of China. zhuhaiyandoc@sina.com.
Journal of Medical Case Reports
|March 11, 2014
Summary
Complete endocardial cushion defect poses a high mortality risk during pregnancy. Early surgical correction and prenatal screening are crucial for managing this congenital heart disease.
Area of Science:
- Cardiology
- Maternal-Fetal Medicine
- Pediatric Cardiology
Background:
- Complete endocardial cushion defect is a congenital heart anomaly involving the atrioventricular area.
- Unrepaired defects are associated with high mortality rates in pregnant and postpartum individuals.
Purpose of the Study:
- To highlight the risks of complete endocardial cushion defect in pregnancy.
- To emphasize the importance of prenatal screening and early surgical intervention.
Main Methods:
- Case presentation of a pregnant woman with unrepaired complete endocardial cushion defect.
- Detailed clinical course including delivery and maternal outcome.
Main Results:
- A 20-year-old woman with unrepaired complete endocardial cushion defect died of heart failure 10 minutes postpartum.
- Her premature infant had hypospadias deformity; the mother had severe pulmonary hypertension and suspected trisomy 21.
Conclusions:
- Prenatal screening for congenital heart defects is essential.
- Prompt surgical correction of endocardial cushion defects in infancy is necessary.
- Women with complete endocardial cushion defect should avoid pregnancy due to high mortality risks.
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