Torri D Metz1, G Marc Jackson, Anji T Yetman. 1. Department of Obstetrics and Gynecology, University of Utah Health Sciences Center, Salt Lake City, UT, USA. torri.metz@hsc.utah.edu
Abstract
OBJECTIVE: Women who underwent an atrial switch procedure (Senning or Mustard) for repair of d-transposition of the great arteries (d-TGA) are now of reproductive age. We sought to assess their ability for a successful pregnancy. STUDY DESIGN: Clinical data were reviewed for all women of reproductive age who carried a diagnosis of d-TGA and atrial switch procedure who were observed at 2 tertiary care centers over 10 years. RESULTS: Among 25 women who were identified, there were 21 pregnancies that resulted in 14 live births. The preterm birth rate was 50%. Pregnancy complications occurred in 5 women. There were no deaths. Serial echocardiographic data demonstrated a fall in right ventricular function during pregnancy, with some improvement postpartum. Intracardiac baffle obstruction that required postpartum stenting occurred in 36% of the completed pregnancies. CONCLUSION: Women who have undergone an atrial switch procedure for d-TGA have high rates of pregnancy and cardiac complications and should be counseled accordingly.
OBJECTIVE:Women who underwent an atrial switch procedure (Senning or Mustard) for repair of d-transposition of the great arteries (d-TGA) are now of reproductive age. We sought to assess their ability for a successful pregnancy. STUDY DESIGN: Clinical data were reviewed for all women of reproductive age who carried a diagnosis of d-TGA and atrial switch procedure who were observed at 2 tertiary care centers over 10 years. RESULTS: Among 25 women who were identified, there were 21 pregnancies that resulted in 14 live births. The preterm birth rate was 50%. Pregnancy complications occurred in 5 women. There were no deaths. Serial echocardiographic data demonstrated a fall in right ventricular function during pregnancy, with some improvement postpartum. Intracardiac baffle obstruction that required postpartum stenting occurred in 36% of the completed pregnancies. CONCLUSION:Women who have undergone an atrial switch procedure for d-TGA have high rates of pregnancy and cardiac complications and should be counseled accordingly.
Authors: Oktay Tutarel; Karishma P Ramlakhan; Lucia Baris; Maria T Subirana; Judith Bouchardy; Attila Nemes; Niels G Vejlstrup; Olga A Osipova; Mark R Johnson; Roger Hall; Jolien W Roos-Hesselink Journal: J Am Heart Assoc Date: 2020-12-22 Impact factor: 5.501
Authors: Oktay Tutarel; Lucia Baris; Werner Budts; Mohamad Gamal Abd-El Aziz; Csilla Liptai; David Majdalany; Silvana Jovanova; Alexandra Frogoudaki; Heidi M Connolly; Mark R Johnson; Aldo P Maggioni; Roger Hall; Jolien W Roos-Hesselink Journal: Heart Date: 2021-04-28 Impact factor: 5.994