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 three non-operated women with congenitally corrected transposition of great arteries



Congenitally corrected transposition of the great arteries (cc-TGA) occurs in less than 1% congenital heart diseases Both pulmonary and systemic circulations are correct, but ventricles and great arteries are inverted. The right ventricle plays a role of the systemic ventricle, which leads to its failure. Another congenital heart abnormalities often coexist. To determine maternal and neonatal outcomes in women with non-operated cc- TGA with coexisting ventricular septum defects (VSD) and features of pulmonary hypertension. All patients tolerated pregnancy quite well until the 30th week. Than deterioration in their functional class (according the NYHA grade) and arrhythmia was observed. Normal intrauterine growth of foetuses were noticed only until 34-35nd of pregnancy. After that all foetuses were small for gestational age. All patients delivered by caesarean section under spinal anaesthesia without any complications. All newborns survived and were discharged from hospital in a good condition. Key words: congenitally corrected transposition of great arteries; pregnancy; delivery

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