Related Experiment Videos
Tricuspid atresia and pregnancy
M Bitsch1, C Johansen, A Wennevold
1Department of Gynecology & Obstetrics, Rigshospitalet, Copenhagen, Denmark.
Summary
Pregnancies in women with tricuspid atresia (TA) are rare but increasing due to successful childhood surgeries. This study discusses management guidelines for these complex pregnancies.
Area of Science:
- Cardiology
- Reproductive Medicine
- Congenital Heart Disease
Background:
- Tricuspid atresia (TA) is a congenital heart defect.
- Successful palliative surgeries allow more TA patients to reach reproductive age.
- Pregnancy in women with TA presents unique challenges.
Purpose of the Study:
- To describe cases of pregnancy in women with tricuspid atresia.
- To review the literature on pregnancies with TA.
- To discuss management guidelines for pregnant patients with TA.
Main Methods:
- Case report of four pregnancies in two women with TA.
- Literature review of 24 reported cases of TA in pregnancy.
- Analysis of delivery outcomes and management strategies.
Main Results:
- Eight pregnancies resulted in deliveries among the reviewed cases, including the three reported cases.
- TA pregnancies remain uncommon but are becoming more frequent.
- Successful management requires specialized care.
Conclusions:
- Increased fertility in adult TA patients necessitates updated management protocols.
- Multidisciplinary care is crucial for optimizing outcomes in TA pregnancies.
- Further research into optimal management strategies is warranted.