肺动脉闭锁合并主-肺动脉侧支动脉（MAPCA）的未经矫正法洛四联症患者妊娠的挑战与结局：一例报告
Challenges and outcomes of pregnancy in an uncorrected Tetralogy of Fallot with pulmonary atresia and major aorta-pulmonary collateral arteries (MAPCA): a case report.
作者信息
Thakur Surekha, Rawat Neha, Sharma Bharti, Sikka Pooja, Dogra Neeti, Aggarwal Neelam, Suri Vanita, Vijayvergiya Rajesh, Gawalkar Atit A
机构信息
Department of Obstetrics and Gynaecology, PGIMER Chandigarh, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Department of Anesthesia, PGIMER Chandigarh, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.
出版信息
Egypt Heart J. 2023 Feb 2;75(1):9. doi: 10.1186/s43044-023-00335-8.
BACKGROUND
Tetralogy of Fallot is a severe type of congenital heart disease (CHD) and one of the leading indirect causes of mortality & morbidity among women with CHD. We came across a rare case of an uncorrected Tetralogy of Fallot with pulmonary atresia and major aortopulmonary collateral arteries in pregnancy.
CASE PRESENTATION
We are reporting the challenges in managing a pregnancy of 25-years-old G3 P0110, previous one stillbirth and who was diagnosed to have congenital heart disease during pregnancy following spontaneous abortion.
CONCLUSIONS
This case report highlights the role of multidisciplinary care in managing such a high risk case. It also emphasizes the role of cardiac examination of every woman before pregnancy so that definitive treatment or optimization can be done in time for a better outcome.
背景
法洛四联症是一种严重的先天性心脏病（CHD），也是患有CHD的女性间接死亡和发病的主要原因之一。我们遇到了一例罕见的妊娠合并未经矫正的法洛四联症伴肺动脉闭锁及主要体肺侧支动脉的病例。
病例介绍
我们报告了一名25岁、孕3产0110的孕妇在管理妊娠过程中所面临的挑战，该孕妇曾有一次死产史，此次妊娠期间在自然流产后被诊断出患有先天性心脏病。
结论
本病例报告强调了多学科护理在管理此类高危病例中的作用。它还强调了孕前对每位女性进行心脏检查的作用，以便及时进行确定性治疗或优化治疗，从而获得更好的结果。
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