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Original Article

Med Arch. 2018; 72(1): 71-73


Pregnacy and Delivery in a Patient After Tetralogy of Fallot Surgery Being Undergone

Anis Cerovac, Dzenita Ljuca, Bedreldin Khodary, Gordana Grgic.




Abstract

Aim: The aim of the paper is to present the risk of pregnancy for mother and her child in a young patient who had a surgery to repair Tetralogy of Fallot (ToF), who gave a birth to her firstborn by having a cesarean section. Case report: 23 years old patient, in 28 weeks of pregnancy was admitted to the clinic due to her medical record. She did not have any subjective complaints. She had two surgeries to repair ToF. After the surgery, she had residual ventricular septal defect (VSD). She had her first surgery 20 years ago (she was 3 years old), and second 7 years ago (she was 16). She had regular check-ups since, and her heart condition was unchanged. Due to her heart surgeries and VSD, a cardiologist indicates that she should deliver by having a c-section when she is 36 weeks pregnant. The patientÂ’s heart condition was stabilized and the patient was sent home. She was recommended to have her cardiologist check up on her as she leaves the hospital and to have a gynecological examination in 6 weeks. Conclusion: It can be concluded that team work and prenatal care, in most cases, lead to delivery without complication, both for mother and fetus.

Key words: congenital heart defect, Tetralogy of Fallot, pregnancy.






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