Wacker J, Unkels R, Bode C, Werner P, Bastert G
Frauenklinik, Ruprecht-Karls-Universität Heidelberg.
Zentralbl Gynakol. 1998;120(9):462-4.
A pregnancy after Mustard repair for transposition of the great arteries and ventricular septal defect with pulmonary stenosis is reported. The 23-year-old gravida 1 was treated with ACE inhibitors up to 26 weeks of gestation until cardiac medication was changed to dihydralazine. At 28 weeks of gestation the patient developed cardiac decompensation leading to caesarean section for maternal indication at 29 weeks of gestation. The neonate did not show any congenital malformation nor anuria. The patient was moved to a normal ward six days after delivery. A cardiac follow-up examination showed no difference to the condition before pregnancy.
本文报道了1例大动脉转位合并室间隔缺损及肺动脉狭窄经Mustard修复术后妊娠的病例。该23岁初产妇在妊娠26周前一直使用血管紧张素转换酶抑制剂治疗，直至心脏用药改为双肼屈嗪。妊娠28周时，患者出现心脏失代偿，于妊娠29周因母体指征行剖宫产。新生儿未发现任何先天性畸形，也无无尿症状。患者产后6天转至普通病房。心脏随访检查显示与妊娠前状况无差异。
