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Pregnancy in a Previously Conjoined Thoracopagus Twin with a Crisscross Heart

Bassam H Rimawi1, Iris Krishna1, Anurag Sahu2

  • 1Division of Maternal-Fetal Medicine, Department of Gynecology and Obstetrics, Emory University School of Medicine, 8th Floor, 550 Peachtree Street, Atlanta, GA 30308, USA.

Case Reports in Obstetrics and Gynecology
|August 15, 2015
PubMed

Insights

A rare maternal cardiac defect, crisscross heart (CCH), was successfully managed, leading to a healthy vaginal delivery. This case highlights the importance of a multidisciplinary team for managing complex congenital heart conditions during pregnancy.

Area of Science:

  • Cardiology
  • Maternal-Fetal Medicine
  • Congenital Abnormalities

Background:

  • Crisscross heart (CCH) is a rare congenital cardiac abnormality (<0.1% of CHDs) involving abnormal ventricular inflow.
  • Maternal CCH cases are previously unreported in medical literature.

Purpose of the Study:

  • To report the first case of a successful pregnancy in a patient with maternal crisscross heart.
  • To emphasize the role of a multidisciplinary approach in managing complex cardiac conditions during pregnancy.

Main Methods:

  • A primigravida patient with CCH, separated from a conjoined twin at birth, was managed by a specialized team.
  • Pregnancy care involved congenital cardiology, maternal-fetal medicine, anesthesiology, and obstetrics.
  • The patient underwent a successful 39-week vaginal delivery.

Main Results:

  • The pregnancy and delivery were managed without maternal or neonatal complications.
  • A successful term pregnancy outcome was achieved despite the complex cardiac condition.

Conclusions:

  • A multidisciplinary approach is crucial for managing patients with crisscross heart during pregnancy.
  • Successful term pregnancy and delivery are achievable in women with CCH.

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