gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Pregnancy outcome in non-operated woman with transposition of great arteries



Transposition of the great arteries (TGA) occurs in 5-9% of all congenital heart diseases. In this defect aorta gets away from the right ventricle and the pulmonary artery from the left one, so two separated circulations are made which is a cause of newborn’s death. Non-operated women with TGA can survive only due to additional, coexisting congenital shunt between the right and left part of the heart and rarely reach childbearing age. To determine maternal and neonatal outcomes in woman with non-operated TGA. A great deterioration in functional class (the IVth according to NYHA grade) in patient with TGA,+ ventricular septum defect+ pulmonary stenosis + aortal stenosis was observed since 26 week of pregnancy. Intrauterine growth retardation(IUGR) of foetus began in 22th week. Caesarean section under spinal anaesthesia was performed due to severe asphyxia of the fetus in 29th week of pregnancy. The newborn with signs of extreme growth restriction died 2 days after the birth. Mother’s condition improved in some days after delivery.