| Hypoplastic right-heart syndrome presenting as multiple miscarriages. | |
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MedLine Citation:
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PMID: 22740745 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Reversible causes of miscarriage are many, but they affect only 1% of women who are trying to conceive. Herein, we describe the case of a 23-year-old woman who presented for evaluation of repeated miscarriages and was found to have hypoxemia and erythrocytosis. Further evaluation revealed hypoplastic right-heart syndrome with an intracardiac shunt. She underwent hybrid repair with pulmonary valve balloon valvuloplasty, followed by surgery to perform atrial septal defect closure and a Glenn anastomosis. The erythrocytosis and hypoxemia resolved, and she was able to conceive and deliver a healthy baby at term 2 years later. This is a unique case of a rare congenital heart defect that went unnoticed until adulthood, when attempts at pregnancy failed because of the associated hypoxemia. Timely and appropriate treatment led to a successful pregnancy after repeated miscarriages. This case exemplifies the need for a comprehensive medical evaluation of every woman with a history of multiple miscarriages to determine whether a reversible cause exists. |
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Authors:
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Chadi Dib; Philip A Araoz; Norman P Davies; Joseph A Dearani; Naser M Ammash |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital Volume: 39 ISSN: 1526-6702 ISO Abbreviation: Tex Heart Inst J Publication Date: 2012 |
Date Detail:
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Created Date: 2012-06-28 Completed Date: 2012-11-19 Revised Date: 2013-05-30 |
Medline Journal Info:
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Nlm Unique ID: 8214622 Medline TA: Tex Heart Inst J Country: United States |
Other Details:
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Languages: eng Pagination: 249-54 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abnormalities, Multiple* Abortion, Habitual / etiology* Anoxia / etiology Balloon Valvuloplasty Cardiac Catheterization Cardiac Surgical Procedures Echocardiography, Doppler, Color Female Heart Defects, Congenital / complications, diagnosis*, physiopathology, therapy Heart Septal Defects, Atrial / complications, diagnosis Heart Ventricles / abnormalities*, physiopathology Hemodynamics Humans Live Birth Magnetic Resonance Imaging Polycythemia / etiology Pregnancy Pregnancy Complications, Cardiovascular / diagnosis*, physiopathology, therapy Pulmonary Valve Stenosis / complications, diagnosis Syndrome Treatment Outcome Tricuspid Valve / abnormalities Young Adult |
| Comments/Corrections | |
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