SUCCESSFUL PREGNANCY OUTCOME IN A PATIENT WITH EBSTEIN’S ANOMALY AND WOLFF-PARKINSON-WHITE SYNDROME: A CASE REPORT

Dr. Twinkle Sood*

ABSTRACT

Ebstein’s anomaly is a rare congenital heart disease characterised by abnormalities of tricuspid valve and right ventricle. It has an extremely variable natural history depending upon a variety of pathological features. It occurs in 1% of congenital heart disease cases. Pregnancy is usually well tolerated unless cyanosis or arrhythmia appears. There is an increased risk of prematurity, foetal loss and congenital heart disease in the offspring. I report a case of 26 years G2P1+0(L0) unbooked patient, who presented for the first time in a tertiary care hospital at 24 weeks of gestation. On reviewing her history and previous records she was found to have ebstein’s anomaly .On further investigations she was found to have wolff-parkinson-white (WPW) syndrome. Patient was admitted and regular fetomaternal monitoring was done. The patient went into spontaneous labor at 37 weeks of gestation and delivered a live female child with birth weight 2.2 kg. Her postnatal period was uneventful. This case report gives insight into the variable presenting features, complications and management strategies during pregnancy to achieve best possible maternal and foetal outcome in a patient with ebstein’s anomaly.

Keywords: ebstein’s anomaly, congenital heart disease, pregnancy, wolff-parkison-white syndrome.