Complex Shipping Protection congenital heart disease and pregnancy are a challenge and delicate medical situation.We describe a first-time pregnancy of a woman living with an uncorrected d-transposition of the great arteries (TGA) with serious fetal complications required multidisciplinary assessment.Twenty-six years old primigravida referred to our cardiology center in 34 weeks of gestation with peripheral cyanosis.
The patient was stable hemodynamically and the room air oxygen was at 82%.A continuous murmur systolic and diastolic at second left intercostals space was found.The transthoracic echocardiographic showed an uncorrected TGA with a large atrial defect and patent ductus arteriosus.
Obstetrical ultrasonography showed severe intrauterine growth restriction.The patient was delivered by caesarean section under epidural anesthesia with good outcome.This is a case report with discussion of the maternal-fetal outcome of pregnant women with asymptomatic uncorrected TGA.
Coordinated care by an informed obstetrician and MILK KEFIR GRAINS cardiologist should be the aim.