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Successful pregnancies after transvenous cardiac resynchronization therapy in a woman with congenitally corrected transposition of the great arteries
Authors:Sana Ouali  Slim Kacem  Rim Gribaa  Elyes Neffeti  Fahmi Remedi  Essia Boughzela
Affiliation:1. La Rabta Hospital, Tunis, Tunisia;2. Sahloul Hospital, Sousse, Tunisia
Abstract:Congenitally corrected transposition of the great arteries is a rare heart defect that can be associated with systemic ventricular dysfunction and conduction disturbances. The use of cardiac resynchronization therapy in patients with congenital heart disease is not fully established, and achievement of successful pregnancies after implantation of transvenous, biventricular system has never been described, and which resulted in a significant clinical improvement.We describe a 33-year-old female with congenitally corrected transposition of the great arteries, who achieved six pregnancies and successful vaginal deliveries. The two last pregnancies were achieved after cardiac resynchronization therapy for systemic ventricular dysfunction and complete heart block. A congenital cardiac disease has been identified in only one offspring.
Keywords:AV  atrio-ventricular  AVB  atrioventricular block  ASD  atrial septal defect  ccTGA  congenitally corrected transposition of the great arteries  CRT  cardiac resynchronization therapy  CS  coronary sinus  LV  left ventricle  PLCV  posterolateral cardiac vein  RV  right ventricle  RVEF  right ventricle ejection fraction  Pregnancy  Cardiac resynchronization therapy  Congenitally corrected transposition of the great arteries
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