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Surgical repair of atrial septal defect with severe pulmonary hypertension during pregnancy: a case report with literature review

Published online by Cambridge University Press:  16 April 2012

Suganya Manivannan ,
Gul Dadlani ,
Michael Parsons ,
Luminita Crisan ,
Victoria Belogolovkin ,
Narendra Sastry  and
Maya Guglin
Suganya Manivannan
Affiliation:
Department of Medicine, University of South Florida, Tampa, Florida, United States of America
Gul Dadlani
Affiliation:
All Children's Hospital, Saint Petersburg, Florida, United States of America
Michael Parsons
Affiliation:
Department of Obstetrics and Gynecology, University of South Florida, Tampa, Florida, United States of America
Luminita Crisan
Affiliation:
Department of Obstetrics and Gynecology, University of South Florida, Tampa, Florida, United States of America
Victoria Belogolovkin
Affiliation:
Department of Obstetrics and Gynecology, University of South Florida, Tampa, Florida, United States of America
Narendra Sastry
Affiliation:
Tampa General Hospital, Tampa, Florida, United States of America
Maya Guglin*
Affiliation:
Department of Cardiology, University of South Florida, Tampa, Florida, United States of America
*
Correspondence to: Dr Maya Guglin, MD, PhD, FACC, Director, Heart Failure, Associate Professor of Medicine, University of South Florida, 2 Tampa General Circle Suite 5074, Tampa, Florida 33606, United States of America. Tel: +1 248 346 3507; Fax +1 813 259 0665; E-mail: mguglin@gmail.com
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Abstract

We are reporting a case of a 37-year-old pregnant woman with a large secundum atrial septal defect with left-to-right shunt and severe pulmonary hypertension. Her atrial septal defect was undiagnosed before this pregnancy. After carefully considering all the options, we repaired her atrial septal defect with an open heart surgical closure at 20 weeks of gestation. A substantial and consistent reduction in pulmonary arterial pressure after the surgery and subsequent uneventful delivery indicate that surgical repair of atrial septal defects is a viable option that should be considered for such patients.

Keywords

Pulmonary hypertensionpregnancyatrial septal defectatrial flutter
Type
Review Article
Information
Cardiology in the Young , Volume 22 , Issue 5 , 13 September 2012 , pp. 493 - 498
Copyright
Copyright © Cambridge University Press 2012

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