Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-28T03:08:09.676Z Has data issue: false hasContentIssue false
  • English
  • Français

Successful pregnancy in a patient with double outlet right ventricle

Published online by Cambridge University Press:  30 March 2020

Daniel Salame-Waxman ,
Mara Escudero-Salamanca  and
Nilda Espinola-Zavaleta Open the ORCID record for Nilda Espinola-Zavaleta [Opens in a new window]
Daniel Salame-Waxman
Affiliation:
School of Medicine, Universidad Anahuac del Norte, Mexico City, Mexico
Mara Escudero-Salamanca
Affiliation:
Mexican Faculty of Medicine, Universidad La Salle, Mexico City, Mexico
Nilda Espinola-Zavaleta*
Affiliation:
Department of Nuclear Cardiology, Instituto Nacional de Cardiologia Ignacio Chavez, Mexico City, Mexico Department of Echocardiography, ABC Medical Center I.A.P., Mexico City, Mexico
*
Author for correspondence: N. Espinola-Zavaleta, MD, PhD, Department of Nuclear Cardiology, Instituto Nacional de Cardiologia Ignacio Chavez, Juan Badiano Nº 1, Colonia Seccion XVI, Tlalpan, P.O. Box 14080, Mexico City, Mexico. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

The double outlet right ventricle is uncommon and usually makes patients have haemodynamic and structural complications. Having a hyperdynamic state, such as pregnancy, with volume overload is very risky for a patient with complex CHD (CCHD). The diagnosis in early stages can prevent cardiac complications. The multi-disciplinary assessment of the disease lets patients make choices in treatment and reproductive life.

Objective:

Present a case of a successful pregnancy in a patient with a rare CCHD.

Participant:

A pregnant 19-year-old patient with a double outlet right ventricle without haemodynamic or structural complications and no fetal abnormalities.

Keywords

Double outlet right ventricleechocardiographypregnancy
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 4 , April 2020 , pp. 594 - 596
Copyright
© The Author(s) 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Tynan, MJ, Becker, AE, Macartney, FJ, Jiménez, MQ, Shinebourne, EA, Anderson, RH. Nomenclature and classification of congenital heart disease. Br Heart J 1979; 41: 544–553.CrossRefGoogle ScholarPubMed
De la Cruz, MV, Cayre, R, Arista, O, Sadowinski, S, Serrano, A. The infundibular interrelationships and the ventriculoarterial connection in double outlet right ventricle. Clinical and surgical implications. Int J Cardiol 1992; 35: 153–164.10.1016/0167-5273(92)90172-YCrossRefGoogle ScholarPubMed
Goor, DA, Edwards, JE. The spectrum of transposition of the great arteries with special referent to developmental anatomy of the conus. Circulation 1973; 48: 406–415.CrossRefGoogle Scholar
De la Cruz, MV, Pío da Rocha, J. An ontogenetic theory for the explanation of congenital malformations involving the truncus and conus. Am Heart J 1955; 51: 782–805.CrossRefGoogle Scholar
De Vries, PA, Saunders, CM. Development of the ventricles and spiral outflow tract in the human heart contribution to development of the human heart from group IX to age Group XV. Contrib Embryol 1962; 37: 89–112.Google Scholar
Muñoz-Castellanos, L, Kuri-Nivon, M.Doble salida del ven trículo derecho. Enfoque Embriológico. Arch Cardiol Mex 2012; 82: 273–281.Google Scholar
Kliegman, R, Stanton, B, St. Geme, J, Schor, N. Nelson Tratado de Pediatria, 20th edn. Elsevier, España, 2016: 2313–2318.Google Scholar
Jone, P, VonAlvensleben, J, Burkett, D, Darst, JR, Collins, KK, Miyamoto, SD. Cardiovascular diseases. In: Hay, WW, Jr, Levin, MJ, Deterding, RR, Abzug, MJ (eds). Current Diagnosis & Treatment: Pediatrics. McGraw-Hill, New York, NY: 24e.Google Scholar
Drenthen, W, Pieper, P, Roos-Hesselink, J, et al. Outcome of pregnancy in women with congenital heart disease. J Am Coll Cardiol 2007; 49: 2303–2311. doi: 10.1016/j.jacc.2007.03.027CrossRefGoogle ScholarPubMed
Chakraborty, A, Gorla, S, Swaminathan, S. Impact of prenatal diagnosis of complex congenital heart disease on neonatal and infant morbidity and mortality. Prenat Diagn 2018; 38: 958–963. doi: 10.1002/pd.5351CrossRefGoogle ScholarPubMed
Wang, K, Luo, H, Xin, Y, Yu, H. Successful pregnancy and delivery in patients with uncorrected single ventricle: three new cases and literature review. Int J Cardiol 2015; 184: 135–139. doi: 10.1016/j.ijcard.2015.01.052CrossRefGoogle ScholarPubMed
Dubois, L, Belkacem, H, Berl, M, Dailland, P, Carli, P. Ventricule unique et anesthésie obstétricale: à propos de deux cas. Ann Fr Anesth Reanim 2003; 22, 50–53. doi: 10.1016/s0750-7658(02)00801-8CrossRefGoogle Scholar
Meyer, S, Jongbloed, M, Ho, S, et al. Intracardiac anatomical relationships and potential for streaming in double inlet left ventricles. PLoS One 2017; 12: e0188048. doi: 10.1371/jour-nal.pone.0188048CrossRefGoogle ScholarPubMed
Khairy, P, Poirier, N, Mercier, L. Univentricular heart. Circulation 2007; 115: 800–812. doi: 10.1161/circulationaha.105.592378CrossRefGoogle ScholarPubMed
Park, MK. Cyanotic congenital heart defects. In: Park, MK (ed.). Parkʼs Pediatric Cardiology for Practitioners. Elsevier Saunders, Philadelphia, 2014; 206–289.Google Scholar
Rahimtoola, S, Ongley, P, Swan, H. The hemodynamics of common (or single) ventricle. Circulation 1966; 34: 14–23. doi: 10.1161/01.cir.34.1.14CrossRefGoogle ScholarPubMed
Steinberg, E, Dantzker, D. Single ventricle with severe pulmonary hypertension: natural survival into the third decade of life. Am Heart J 1993; 125: 1451–1453. doi: 10.1016/0002-8703(93)91029-eCrossRefGoogle ScholarPubMed
Gu, J, Cai, Y, Liu, B, Lv, S. Anesthetic management for cesarean section in a patient with uncorrected double-outlet right ventricle. Springerplus 2016; 5: 415. doi: 10.1186/s40064-016-2075-yCrossRefGoogle Scholar
Yucel, E, DeFaria Yeh, D. Pregnancy in women with congenital heart disease. Cur Treat Options Cardiovasc Med 2017; 19: 73. doi: 10.1007/s11936-017-0572-0.CrossRefGoogle ScholarPubMed

Salame-Waxman et al. supplementary material

Salame-Waxman et al. supplementary material 1

Download Salame-Waxman et al. supplementary material(Video)
Video 1.7 MB

Salame-Waxman et al. supplementary material

Salame-Waxman et al. supplementary material 2

Download Salame-Waxman et al. supplementary material(Video)
Video 3.5 MB