Successful completion of pregnancy after Mustard procedure for transposition of great arteries: a rare case from the developing world

J Pak Med Assoc. 2020 May;70(5):920-922. doi: 10.5455/JPMA.22875.

Abstract

Surgical repair of transposition of great arteries has undergone various evolutionary changes over the years. The initial of these treatment options was atrial septectomy followed by atrial switch and the current preferred treatment option is arterial switch operation worldwide. Due to various reasons, like lack of medical and surgical expertise atrial switch operation was commonly in practice in developing countries until few years back. Pregnancy in a patient with history of atrial switch operation poses a unique haemodynamic challenge. We report the case of a successful pregnancy in a 26 years old lady who had undergone Mustard repair surgery in the past in Pakistan.

Keywords: TGA, Mustard operation, Pregnancy, Congenital heart disease.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Arterial Switch Operation* / adverse effects
  • Arterial Switch Operation* / methods
  • Cesarean Section / methods*
  • Echocardiography / methods
  • Elective Surgical Procedures / methods
  • Female
  • Humans
  • Polyhydramnios / diagnosis
  • Polyhydramnios / physiopathology
  • Pregnancy
  • Pregnancy Complications, Cardiovascular* / diagnosis
  • Pregnancy Complications, Cardiovascular* / physiopathology
  • Pregnancy Outcome
  • Pregnancy, High-Risk
  • Reproductive History
  • Transposition of Great Vessels / diagnosis
  • Transposition of Great Vessels / surgery*
  • Tricuspid Valve Insufficiency* / diagnosis
  • Tricuspid Valve Insufficiency* / etiology
  • Ultrasonography, Prenatal / methods
  • Ventricular Dysfunction, Right* / diagnosis
  • Ventricular Dysfunction, Right* / etiology