Document Detail


Case report of a 26 year old primigravida with patent ductus arteriosus (PDA) in heart failure.
MedLine Citation:
PMID:  21572870     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Congenital heart disease is an important cause of maternal morbidity and mortality during pregnancy. Pregnancy alters the circulatory and respiratory physiology with attendant deleterious effect on the mother with congenital heart disease and the foetus. Additional insult to the circulatory physiology by other factors coexisting together with congenital heart disease can further reduce the cardiac reserve in pregnancy and precipitate heart failure. These factors include anaemia, thromboembolism, hypertension, multiple pregnancy, strenuous physical activity, extremes of temperature and the normal physiological edema of pregnancy.Patent ductus arteriosus (PDA) can present for the first time in pregnancy. Moderate to large PDA result in significant volume overload, left ventricular dilation and dysfunction. In the woman with a hemodynamically important PDA, pregnancy may precipitate or worsen heart failure. We report a successful pregnancy in a 26 year old primigravida with previously undetected patent ductus arteriosus with preeclampsia who presented in heart failure. This case highlights the importance of intensive careful examination of pregnant patients to identify such conditions.
Authors:
A A Akintunde; O G Opadijo
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  African health sciences     Volume:  11     ISSN:  1729-0503     ISO Abbreviation:  Afr Health Sci     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-05-16     Completed Date:  2011-07-28     Revised Date:  2013-06-28    
Medline Journal Info:
Nlm Unique ID:  101149451     Medline TA:  Afr Health Sci     Country:  Uganda    
Other Details:
Languages:  eng     Pagination:  138-40     Citation Subset:  IM    
Affiliation:
Division of Cardiology, LAUTECH Teaching Hospital, Osogbo, Osun State Nigeria. iakintunde2@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Ductus Arteriosus, Patent / complications,  diagnosis*
Female
Heart Defects, Congenital / complications,  physiopathology*
Heart Failure / diagnosis*,  etiology,  physiopathology
Humans
Pregnancy
Pregnancy Complications, Cardiovascular / diagnosis,  physiopathology*
Pregnancy Outcome
Comments/Corrections

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