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Journal of Rare Cardiovascular Diseases
ISSN: 2299-3711 (Print)
e-ISSN: 2300-5505 (Online)
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Pregnant woman with Ebstein’s anomaly
Agata Leśniak Sobelga
,  
Lidia Tomkiewicz Pająk
,  
Jacek Pająk
,  
Piotr Podolec
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Abstract
A 34-year-old female with Ebstein’s anomaly presented to our centre at 19th week of her fi rst pregnancy with a history of dyspnea, palpitations and syncopes. Echocardiogram showed typical signs of Ebstein’s anomaly with severe tricuspid regurgitation, large atrial septal defect with left-to-right shunt and elevated right ventricular systolic pressure. She was prescribed metoprolol and anticoagulation with low-molecular-weight heparin. The pregnancy course was uneventful. She delivered by vaginal route in 36th week of pregnancy a healthy male baby weighing 2140 g. On the 6th day after delivery she experienced tachycardia, dyspnea, dizziness. Clinical examination and additional studies revealed only slight limb oedema
and low haemoglobin level. After treatment with furosemide and prescription of folic acid and iron supplementation she was discharged home in a good clinical condition after 4 days. JRCD 2012; 1: 13–17
Keywords
Tricuspid valve regurgitation; Atrial septal defect; Pulmonary hypertension
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Keywords
Classification of Rare Cardiovascular Diseases anticoagulation atrial fibrillation atrial septal defect cardiomyopathy computed tomography congenital heart disease echocardiography electrocardiogram electrocardiography heart failure implantable cardioverter‑defibrillator magnetic resonance imaging pregnancy pulmonary arterial hypertension pulmonary hypertension rare cardiovascular disease rare disease right heart catheterization right ventricular failure
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