Cardiology in the Young

Review Article

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

Suganya Manivannana1, Gul Dadlania2, Michael Parsonsa3, Luminita Crisana3, Victoria Belogolovkina3, Narendra Sastrya4 and Maya Guglina5 c1

a1 Department of Medicine, University of South Florida, Tampa, Florida, United States of America

a2 All Children's Hospital, Saint Petersburg, Florida, United States of America

a3 Department of Obstetrics and Gynecology, University of South Florida, Tampa, Florida, United States of America

a4 Tampa General Hospital, Tampa, Florida, United States of America

a5 Department of Cardiology, University of South Florida, Tampa, Florida, United States of America

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.

(Received October 07 2011)

(Accepted March 06 2012)

(Online publication April 16 2012)

Correspondence:

c1 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