Pregnancy with both secundum type atrial septal defect and pulmonary hypertension
Serkan Akdağ, Hasan Ali Gümrükçüoğlu, Hakkı Şimşek, Musa Şahin 1 * , Yılmaz Güneş
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1 Yüzüncü Yıl University, Faculty of Medicine, Cardiology Department, Van, Turkey* Corresponding Author

Abstract

Atrial septal defect (ASD) is the most common congenital heart disease in adulthood. Although usually clinically asymptomatic in adult patients, it may become symptomatic with rhythm disorders and shortness of breath. Prognosis of pregnancy with congenital heart disease and health of infant were affected by several factors such as location of cardiac defect, presence or absence of cyanosis, degree of pulmonary vascular resistance, hemoglobin level, functional capacity and history of surgical repair. In this case, we presented a 29 years old, 15 weeks pregnant women with previously unknown congenital heart disease who had complaints of shortness of breath and palpitations. In physical examination, we found a grade 2/6 systolic murmur on mezocardiyak focus and 3/6 on tricuspid focus. Transthoracic echocardiography showed secundum type ASD (3 cm), severe right ventricular enlargement, moderate tricuspid regurgitation and increased pulmonary artery systolic pressure (60 mmHg). Pregnancy was terminated and the ASD was occluded surgically in elective conditions.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Case Report

J Clin Exp Invest, Volume 2, Issue 4, December 2011, 452-454

https://doi.org/10.5799/ahinjs.01.2011.04.0094

Publication date: 12 Dec 2011

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Article Downloads: 2303

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