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Hemodynamic changes in a pregnant patient with congenitally corrected transposition of the great arteries
Carlos Manuel Aboitiz-Rivera1, Ruben Blachman-Braun2, Laura Graciela Ferrer-Arellano3
1Servicio de Hemodinamia y Ecocardiografía, Instituto Nacional de Enfermedades Respiratorias (INER), Tlalpan, Distrito Federal, Edo. de México, México.
Congenitally corrected transposition of the great arteries (CCTGA) is a rare acyanotic heart disease. The evaluation of the hemodynamic alteration, before and after delivery, has been poorly reported. This case report is about a hispanic patient presented in the third trimester of pregnancy with a systolic murmur and a loud second pulmonary sound. Echocardiographic study revealed a CCTGA with dilatation of the morphologically right ventricle (RV), severe regurgitation of the tricuspid valve and secondary pulmonary hypertension without other heart defects. The patient had a full term pregnancy, without any complication before, during or after the childbirth.
Congenitally corrected transposition of the great arteries (CCTGA) is a rare acyanotic heart disease. The evaluation of the hemodynamic alteration, before and after delivery, has been poorly reported. This case report is about a hispanic patient presented in the third trimester of pregnancy with a systolic murmur and a loud second pulmonary sound. Echocardiographic study revealed a CCTGA with dilatation of the morphologically right ventricle (RV), severe regurgitation of the tricuspid valve and secondary pulmonary hypertension without other heart defects. The patient had a full term pregnancy, without any complication before, during or after the childbirth.
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