Uncorrected pentalogy of Fallot with successful pregnancy-A case report

Caroline Ferreira da Silva Mazeto Pupo da Silveira; Alejandra Villanueva Mauricio; Gláucia Maria Ferreira da Silva Mazeto; Katashi Okoshi; Vera Therezinha Medeiros Borges; Silmeia Garcia Zanati Bazan

doi:10.1016/j.radcr.2023.02.017

Uncorrected pentalogy of Fallot with successful pregnancy-A case report

Radiol Case Rep. 2023 Mar 16;18(5):1945-1948. doi: 10.1016/j.radcr.2023.02.017. eCollection 2023 May.

Authors

Caroline Ferreira da Silva Mazeto Pupo da Silveira¹, Alejandra Villanueva Mauricio¹, Gláucia Maria Ferreira da Silva Mazeto¹, Katashi Okoshi¹, Vera Therezinha Medeiros Borges², Silmeia Garcia Zanati Bazan¹

Affiliations

¹ Internal Medicine Department, Botucatu Medical School, UNESP, Rua Dr Joao Queiroz Reis, 700, Vila Sonia, Botucatu, Sao Paulo, CEP 18607-010, Brazil.
² Gynecology and Obstetrics Department, Botucatu Medical School, UNESP, Botucatu, Sao Paulo, Brazil.

Abstract

Pentalogy of Fallot (PoF) is a congenital heart disease comprising tetralogy of Fallot plus an atrial septal defect (ASD). Patients are diagnosed early in life and submitted to reparative surgery. Without it, the prognosis is poor. This female patient, initially diagnosed with transposition of great arteries (TGA), ASD and a ventricular septal defect, got pregnant at 26 years old and had an early delivery due to fetal distress. She resumed follow-up, and her last echocardiogram put in doubt the diagnosis of TGA. Cardiac CT then revealed a PoF as well as pulmonary arteriovenous fistulas and a persistent left superior vena cava.

Keywords: 2D echocardiography; High-risk pregnancy; Pentalogy of Fallot.

Publication types

Case Reports