Management of pregnancy and delivery in women with transposition of the great arteries after atrial switch operation: A 16-year single-center experience.
atrial switch operation
cardiac complication
congenital heart disease
pregnancy
transposition of the great arteries
Journal
The journal of obstetrics and gynaecology research
ISSN: 1447-0756
Titre abrégé: J Obstet Gynaecol Res
Pays: Australia
ID NLM: 9612761
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
revised:
27
10
2021
received:
12
01
2021
accepted:
22
11
2021
pubmed:
14
12
2021
medline:
4
2
2022
entrez:
13
12
2021
Statut:
ppublish
Résumé
This study aimed to summarize cases of successful pregnancy and delivery in patients with transposition of the great arteries (TGA) after atrial switch operation (ASO), to provide management, clinical experience, and maternal and fetal outcomes. During a 16-year period (2004-2019), we experienced 30 pregnancies in 15 patients after ASO at our institution. We retrospectively reviewed the medical records of the patients. In 30 pregnancies, there were 21 (70%) live births, five (17%) miscarriages, and four (13%) artificial abortions. There were no maternal or neonatal deaths. Cardiac complications occurred in nine (43%) patients: deterioration of right ventricular (RV) function in one, symptomatic heart failure (HF) in three, supraventricular tachyarrhythmia requiring electrical cardioversion in two, sick sinus syndrome that required pacemaker implantation in two, and hemoptysis in one. Obstetric complications occurred in five (24%). Neonatal complications were premature births (delivery at <37 weeks of gestation) in 15 (71%), and birthweight <2500 g in 18 (86%). The mode of delivery consisted of vaginal delivery (VD) in five (24%), and cesarean section (CS) in 16 (76%). A high incidence of preterm CS and cardiac complications including deterioration of RV function was observed in patients who had undergone ASO for TGA.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
351-359Informations de copyright
© 2021 Japan Society of Obstetrics and Gynecology.
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