Pregnancy After Biventricular Repair for Pulmonary Atresia With Ventricular Septal Defect
Information on pregnancy and delivery in women with biventricular repair for isolated noncomplex pulmonary atresia with a ventricular septal defect (PAVSD) is limited. Using a nationwide congenital heart disease registry (CONgenital CORvitia [CONCOR]), 9 women with biventricular repair for PAVSD (ag...
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| Veröffentlicht in: | The American journal of cardiology 2006-07, Vol.98 (2), p.262-266 |
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| creator | Drenthen, Willem Pieper, Petronella G. Zoon, Nicole Roos-Hesselink, Jolien W. Voors, Adriaan A. Mulder, Barbara J.M. van Dijk, Arie P.J. Sollie, Krystyna M. Vliegen, Hubert W. Ebels, Tjark van Veldhuisen, Dirk J. |
| description | Information on pregnancy and delivery in women with biventricular repair for isolated noncomplex pulmonary atresia with a ventricular septal defect (PAVSD) is limited. Using a nationwide congenital heart disease registry (CONgenital CORvitia [CONCOR]), 9 women with biventricular repair for PAVSD (aged 21 to 38 years) were identified. Ten pregnancies were observed in 5 different women with PAVSD, including 3 spontaneous miscarriages. Clinically significant (non)cardiac complications were documented in 3 of 7 completed pregnancies. These complications were: (1) atrioventricular reentry tachycardia with symptomatic right-sided heart failure; (2) eclampsia with hemolysis, elevated liver enzymes, and low platelets syndrome further complicated by abruptio placentae leading to premature delivery of a small-for-gestational-age child; and (3) premature delivery due to cervical insufficiency with antepartum demise of an immature child. Furthermore, none of the women reported infertility. Moreover, none of the women reported irregularities of their natural menstrual cycle (age at menarche 13 years; cycle duration 28 days), with the exception of delayed menarche (>16 years) in 2 patients. In conclusion, successful pregnancy in patients with biventricular repair of PAVSD is possible, although often complicated by serious clinically significant events. Infertility and menstrual cycle disorders do not appear to be more prevalent, except for a high incidence of primary amenorrhea. |
| doi_str_mv | 10.1016/j.amjcard.2006.01.094 |
| format | Article |
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Using a nationwide congenital heart disease registry (CONgenital CORvitia [CONCOR]), 9 women with biventricular repair for PAVSD (aged 21 to 38 years) were identified. Ten pregnancies were observed in 5 different women with PAVSD, including 3 spontaneous miscarriages. Clinically significant (non)cardiac complications were documented in 3 of 7 completed pregnancies. These complications were: (1) atrioventricular reentry tachycardia with symptomatic right-sided heart failure; (2) eclampsia with hemolysis, elevated liver enzymes, and low platelets syndrome further complicated by abruptio placentae leading to premature delivery of a small-for-gestational-age child; and (3) premature delivery due to cervical insufficiency with antepartum demise of an immature child. Furthermore, none of the women reported infertility. Moreover, none of the women reported irregularities of their natural menstrual cycle (age at menarche 13 years; cycle duration 28 days), with the exception of delayed menarche (>16 years) in 2 patients. In conclusion, successful pregnancy in patients with biventricular repair of PAVSD is possible, although often complicated by serious clinically significant events. Infertility and menstrual cycle disorders do not appear to be more prevalent, except for a high incidence of primary amenorrhea.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/j.amjcard.2006.01.094</identifier><identifier>PMID: 16828605</identifier><identifier>CODEN: AJCDAG</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Biological and medical sciences ; Birth defects ; Cardiac Surgical Procedures - methods ; Cardiology ; Cardiology. Vascular system ; Cardiovascular disease ; Childbirth & labor ; Clinical outcomes ; Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava ; Female ; Follow-Up Studies ; Heart ; Heart Septal Defects, Ventricular - complications ; Heart Septal Defects, Ventricular - surgery ; Heart surgery ; Heart Ventricles - surgery ; Humans ; Infant, Newborn ; Male ; Medical sciences ; Middle Aged ; Postoperative Complications ; Pregnancy ; Pregnancy Complications, Cardiovascular ; Pregnancy Outcome ; Pulmonary Atresia - complications ; Pulmonary Atresia - surgery ; Treatment Outcome ; Women ; Womens health</subject><ispartof>The American journal of cardiology, 2006-07, Vol.98 (2), p.262-266</ispartof><rights>2006 Elsevier Inc.</rights><rights>2006 INIST-CNRS</rights><rights>Copyright Elsevier Sequoia S.A. 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Using a nationwide congenital heart disease registry (CONgenital CORvitia [CONCOR]), 9 women with biventricular repair for PAVSD (aged 21 to 38 years) were identified. Ten pregnancies were observed in 5 different women with PAVSD, including 3 spontaneous miscarriages. Clinically significant (non)cardiac complications were documented in 3 of 7 completed pregnancies. These complications were: (1) atrioventricular reentry tachycardia with symptomatic right-sided heart failure; (2) eclampsia with hemolysis, elevated liver enzymes, and low platelets syndrome further complicated by abruptio placentae leading to premature delivery of a small-for-gestational-age child; and (3) premature delivery due to cervical insufficiency with antepartum demise of an immature child. Furthermore, none of the women reported infertility. Moreover, none of the women reported irregularities of their natural menstrual cycle (age at menarche 13 years; cycle duration 28 days), with the exception of delayed menarche (>16 years) in 2 patients. In conclusion, successful pregnancy in patients with biventricular repair of PAVSD is possible, although often complicated by serious clinically significant events. Infertility and menstrual cycle disorders do not appear to be more prevalent, except for a high incidence of primary amenorrhea.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Birth defects</subject><subject>Cardiac Surgical Procedures - methods</subject><subject>Cardiology</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular disease</subject><subject>Childbirth & labor</subject><subject>Clinical outcomes</subject><subject>Congenital heart diseases. 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Vascular system</topic><topic>Cardiovascular disease</topic><topic>Childbirth & labor</topic><topic>Clinical outcomes</topic><topic>Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart</topic><topic>Heart Septal Defects, Ventricular - complications</topic><topic>Heart Septal Defects, Ventricular - surgery</topic><topic>Heart surgery</topic><topic>Heart Ventricles - surgery</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Postoperative Complications</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Cardiovascular</topic><topic>Pregnancy Outcome</topic><topic>Pulmonary Atresia - complications</topic><topic>Pulmonary Atresia - surgery</topic><topic>Treatment Outcome</topic><topic>Women</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Drenthen, Willem</creatorcontrib><creatorcontrib>Pieper, Petronella G.</creatorcontrib><creatorcontrib>Zoon, Nicole</creatorcontrib><creatorcontrib>Roos-Hesselink, Jolien W.</creatorcontrib><creatorcontrib>Voors, Adriaan A.</creatorcontrib><creatorcontrib>Mulder, Barbara J.M.</creatorcontrib><creatorcontrib>van Dijk, Arie P.J.</creatorcontrib><creatorcontrib>Sollie, Krystyna M.</creatorcontrib><creatorcontrib>Vliegen, Hubert W.</creatorcontrib><creatorcontrib>Ebels, Tjark</creatorcontrib><creatorcontrib>van Veldhuisen, Dirk J.</creatorcontrib><creatorcontrib>ZAHARA Investigators</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Drenthen, Willem</au><au>Pieper, Petronella G.</au><au>Zoon, Nicole</au><au>Roos-Hesselink, Jolien W.</au><au>Voors, Adriaan A.</au><au>Mulder, Barbara J.M.</au><au>van Dijk, Arie P.J.</au><au>Sollie, Krystyna M.</au><au>Vliegen, Hubert W.</au><au>Ebels, Tjark</au><au>van Veldhuisen, Dirk J.</au><aucorp>ZAHARA Investigators</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pregnancy After Biventricular Repair for Pulmonary Atresia With Ventricular Septal Defect</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>2006-07-15</date><risdate>2006</risdate><volume>98</volume><issue>2</issue><spage>262</spage><epage>266</epage><pages>262-266</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><coden>AJCDAG</coden><abstract>Information on pregnancy and delivery in women with biventricular repair for isolated noncomplex pulmonary atresia with a ventricular septal defect (PAVSD) is limited. Using a nationwide congenital heart disease registry (CONgenital CORvitia [CONCOR]), 9 women with biventricular repair for PAVSD (aged 21 to 38 years) were identified. Ten pregnancies were observed in 5 different women with PAVSD, including 3 spontaneous miscarriages. Clinically significant (non)cardiac complications were documented in 3 of 7 completed pregnancies. These complications were: (1) atrioventricular reentry tachycardia with symptomatic right-sided heart failure; (2) eclampsia with hemolysis, elevated liver enzymes, and low platelets syndrome further complicated by abruptio placentae leading to premature delivery of a small-for-gestational-age child; and (3) premature delivery due to cervical insufficiency with antepartum demise of an immature child. Furthermore, none of the women reported infertility. Moreover, none of the women reported irregularities of their natural menstrual cycle (age at menarche 13 years; cycle duration 28 days), with the exception of delayed menarche (>16 years) in 2 patients. In conclusion, successful pregnancy in patients with biventricular repair of PAVSD is possible, although often complicated by serious clinically significant events. Infertility and menstrual cycle disorders do not appear to be more prevalent, except for a high incidence of primary amenorrhea.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16828605</pmid><doi>10.1016/j.amjcard.2006.01.094</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Biological and medical sciences Birth defects Cardiac Surgical Procedures - methods Cardiology Cardiology. Vascular system Cardiovascular disease Childbirth & labor Clinical outcomes Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava Female Follow-Up Studies Heart Heart Septal Defects, Ventricular - complications Heart Septal Defects, Ventricular - surgery Heart surgery Heart Ventricles - surgery Humans Infant, Newborn Male Medical sciences Middle Aged Postoperative Complications Pregnancy Pregnancy Complications, Cardiovascular Pregnancy Outcome Pulmonary Atresia - complications Pulmonary Atresia - surgery Treatment Outcome Women Womens health |
| title | Pregnancy After Biventricular Repair for Pulmonary Atresia With Ventricular Septal Defect |
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