Postpartum cardiac arrest in a woman with an uncorrected sinus venosus type of atrial septal defect: A case report

• Published in: International journal of cardiology congenital heart disease Vol. 12; p. 100444
• Main Authors: Mekoa Mbarga, Joelle Régine, Tenisch, Estelle, Saleh, Aicha, Le Bloa, Mathieu, Desseauve, David, Pfister, Raymond, Domenichini, Giulia, Corby-Zauner, Christina, Surmely, Jean-Francois, Bouchardy, Judith, Pruvot, Etienne, Rutz, Tobias
• Format: Journal Article
• Language: English
• Published: Elsevier B.V 01-06-2023; Elsevier
• Subjects: Arrhythmias; Cardiac arrest; Congenital heart disease; pregnancy; Congenital heart disease; Arrhythmias; pregnancy; Cardiac arrest
• ISSN: 2666-6685; 2666-6685
• DOI: 10.1016/j.ijcchd.2023.100444

The number of women with congenital heart disease (CHD) surviving to childbearing age is continuously growing. Although most pregnancies in this patient-population are well tolerated, there is a significant risk of potentially fatal complications. We describe a case of a previously completely asymptomatic patient who was diagnosed late during pregnancy with an inferior sinus venosus type atrial septal defect (ISV-ASD) and anomalous connection of all right pulmonary veins (PAPVC) who presented a cardiac arrest with ventricular fibrillation the day after delivery. She recovered completely and underwent subsequent surgical repair and implantation of a subcutaneous defibrillator (S-ICD).