Diagnostic and treatment features for pregnancy in a case of complex maternal cyanotic cardiac malformation

Alexandra Maria Tibeica

This study gives detail on a rare case single congenital ventricle cardiac malformation. A single ventricle or a uni ventricular heart is a complex congenital heart defect with anatomical features that cannot be subjected to ventricular surgical repair. Deformations include; ventricular hypoplasia, atrioventricular valve atresia, ventricle with two ejection channels with a distant ventricular septal defect, or atrioventricular canal. These are all rare disorders affecting one of the ventricles. The ventricle may be smaller, underdeveloped or a valve may be missing. We present the result of a pregnancy case obtained spontaneously in a woman with rare congenital heart malformation, the single ventricle with double ejection, who did not benefit from surgical treatment to repair the cardiac defect and which led to pregnancy up to 32 SA. In this case the patient presented with postpartum pulmonary vascular disease, cyanosis and heart failure. Regarding fetal development, in this case, the woman gave birth prematurely at 32 weeks, through caesarean section due to the modification of the Doppler parameters, It was a successful delivery of a new single live birth, with G = 1100 g, A = 7 (1 ‘) - 8 ( 5 ‘), with tricuspid regurgitation grade I, delayed intrauterine growth due to changes in placental vascularity, respiratory distress due to prematurity, anaemia and jaundice of prematurity