Two Cases of Congenital Heart Diseases those Experienced Intracardiac Repair after Termination of Index Pregnancy

S. Katsuragi, Masahiro Nakao, Ryoko Ono, A. Yoshida, T. Kawamura, Ryo Suzuki, T. Yoshikawa, Taku Ishii, N. Wada, M. Ando
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Abstract

A 24-year-patient with Double-Chambered Right Ventricle (DCRV) got pregnant and echocardiography revealed the pressure of high pressure chamber was equal to the left ventricle and she was told the risk for the index pregnancy and had intracaradiac repair after termination of the pregnancy. Another 23 year patient with Ross procedure was told there was a severe pulmonary stenosis of the composite graft and was recommended re conduit replacement after termination. These two patients had not enough cardiac examination and did not understand well their own cardiac performance. For patients with congenital heart diseases, both education of their cardiac status and preconceptional counseling is necessary when they reach childbearing age depending on the patients’ age and development.
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先天性心脏病终止妊娠心内修复2例
24岁双室右心室(DCRV)患者妊娠,超声心动图显示高压室压力等于左心室,告知其有指数妊娠风险,终止妊娠后行心内修复术。另一位23岁的罗斯手术患者被告知复合移植物存在严重的肺狭窄,并建议在终止后重新更换导管。这两例患者没有进行足够的心脏检查,对自己的心脏表现也不了解。对于先天性心脏病患者,在达到生育年龄时,根据患者的年龄和发育情况,需要对其进行心脏状况的教育和孕前咨询。
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