Pregnancy with double outlet right ventricle in university Airlangga hospital Surabaya


Article PDF :

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Article type :

Case Report

Author :

Andy Sugiharto Wonodihardjo*, Khanisyah Erza Gumilar, M. Ilham Aldika Akbar

Volume :

8

Issue :

3

Abstract :

Objectives: Present a case of a successful pregnancy in a patient with Double Outlet Right Ventricle (DORV). Materials and Methods: A case report of 36 year old pregnant woman with DORV that underwent Cesarean Delivery in University Airlangga Hospital Suurabaya. Results: Participant: A pregnant 36-year-old patient with a DORV. This patient does not aware if she has Cardiac Disease but patient often complaining easy fatigability after doing light work and developed cardiac symptoms, such as dyspnea since 28 weeks Age of Gestation. Once the symptoms developed, patient was referred to Secondary hospital in Bojonegoro, echocardiography was done and patient was diagnosed with DORV. Since DORV is rare case and complicated, after that patient referred to Airlangga Hospital for further evaluation and treatment. Patient was admitted for 9 days, corticosteroid for lung maturity was given and underwent elective C-Section under epidural anesthesia on 34/35 age of gestation. Course in the ward was unremarkable and patient was discharged post operative day 3. Conclusion: This patient was diagnosed with DORV Subaortic Type and underwent cesarean delivery without complication and delivered baby boy without any congenital anomaly from physical examination. The systemic circulation from this patient was balanced until third trimester because the increase of blood volume.

Keyword :

Double outlet right ventricle, Congenital heart disease in pregnancy, Delivery, Intrauterine growth restriction, Ventricle septal defect.
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