Management of Hypertrophic Cardiomyopathy in a Newborn with Dextro-Transposition of the Great Arteries

Abstract

Impaired maternal glucose metabolism during pregnancy can have significant effects on the cardiovascular system of the developing fetus. Early in pregnancy the teratogenic effects may lead to structural heart defects, while later in gestation a form of hypertrophic cardiomyopathy can develop due to overgrowth driven by fetal hyperinsulinism. We describe an infant with the uncommon combination of both dextro-transposition of the great arteries and hypertrophic cardiomyopathy. We emphasize the importance of a longitudinal multi-disciplinary approach, from fetal diagnosis to post-operative management, that allowed for an excellent outcome in this rare combination of severe cardiac malformations.

Keywords: Critical care management; Fetal diagnosis; Hypertrophic cardiomyopathy; Prenatal multidisciplinary approach; Transposition of the great arteries.