Gynecologie, obstetrique, fertilite & senologie · 2026
[Obstetric outcomes in women with repaired transposition of the great arteries].
СтатьяНаблюдательное исследованиеАннотация на английскомНазвание и аннотация: Перевод в очереди
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Masure Alexia, Labombarda Fabien, Dreyfus Michel
Аннотация
OBJECTIVE: Transposition of the great arteries (TGA) is a congenital heart disease whose neonatal surgical correction by atrial switch (ATSO) or arterial switch (ASO) now allows many women to reach childbearing age.
METHODS: We conducted a retrospective, single-center observational study (Caen University Hospital, 1991-2024) including 14 women with TGA (33 pregnancies).
RESULTS: Of the pregnancies, 72.7% reached term. The miscarriage rate was comparable to that of the general population. Vaginal delivery was possible in 62.5% of cases. Only one patient (ATSO) experienced severe cardiac complications. Postpartum follow-up showed globally stable ventricular function, with no significant progression of minor aortic regurgitation after ASO or systemic right ventricular dysfunction after ATSO.
CONCLUSION: Pregnancy is generally well tolerated in women with repaired TGA, particularly.
METHODS: We conducted a retrospective, single-center observational study (Caen University Hospital, 1991-2024) including 14 women with TGA (33 pregnancies).
RESULTS: Of the pregnancies, 72.7% reached term. The miscarriage rate was comparable to that of the general population. Vaginal delivery was possible in 62.5% of cases. Only one patient (ATSO) experienced severe cardiac complications. Postpartum follow-up showed globally stable ventricular function, with no significant progression of minor aortic regurgitation after ASO or systemic right ventricular dysfunction after ATSO.
CONCLUSION: Pregnancy is generally well tolerated in women with repaired TGA, particularly.