Successful pregnancy outcome in uncorrected tetralogy of Fallot with bidirectional shunt

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dc.contributor.authorTauro, SRen_US
dc.contributor.authorDevi, RPen_US
dc.contributor.authorSen, Sen_US
dc.contributor.authorRout, Aen_US
dc.contributor.authorNayak, Aen_US
dc.date.accessioned2025-08-13T11:43:34Z
dc.date.available2025-08-13T11:43:34Z
dc.date.issued2025-07
dc.description.abstractTetralogy of Fallot (TOF), a cyanotic congenital heart disease, is the most prevalent type, constituting 10% of all congenital heart conditions. During pregnancy and childbirth, patients with uncorrected TOF can experience deterioration, posing a significant risk to maternal health and even mortality. A 30 year old patient was referred from a private clinic in view of uncorrected TOF in the third trimester of pregnancy. She was G3P1A1 who reported at 37 weeks 2 days period of gestation to the emergency room with history of breathlessness on routine activities for 10 days (NYHA III) and easy fatigability for 4-5 months and pain abdomen. Her previous antenatal and pre pregnancy period was uneventful with no history of cyanotic spells, dyspnea or palpitations. Electrocardiography showed sinus rhythm, right atrial enlargement, right ventricular hypertrophy with sudden transition of QRS in V2. Her echocardiography confirmed the findings of TOF. It revealed a large peri membranous VSD with bidirectional shunt with 50% overriding of aorta. There was non dysplastic severe pulmonary stenosis, right ventricular outflow tract narrowing with right ventricular hypertrophy, severe pulmonary hypertension, with a left ventricular ejection fraction of 56%. She underwent emergency cesarean section under general anesthesia in joint consultation of the obstetrics unit along with anesthesiologist, cardiologist, intensivist and neonatologist. Her cardiovascular status was never compromised. She was started on torsemide and was discharged on 6th post-operative day. She followed up with cardiologist after 4 weeks postpartum for further management.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, RIMS, Imphal, Manipur, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, RIMS, Imphal, Manipur, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, RIMS, Imphal, Manipur, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, RIMS, Imphal, Manipur, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, RIMS, Imphal, Manipur, Indiaen_US
dc.identifier.citationTauro SR, Devi RP, Sen S, Rout A, Nayak A. Successful pregnancy outcome in uncorrected tetralogy of Fallot with bidirectional shunt. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2025 Jul; 14(7): 2399-2402en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/254064
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber7en_US
dc.relation.volume14en_US
dc.source.urihttps://doi.org/10.18203/2320-1770.ijrcog20252000en_US
dc.subjectUncorrected tetralogy of Falloten_US
dc.subjectHigh-risk pregnancyen_US
dc.subjectBidirectional cardiac shunten_US
dc.titleSuccessful pregnancy outcome in uncorrected tetralogy of Fallot with bidirectional shunten_US
dc.typeJournal Articleen_US
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