1. Congenital Heart Disease in Pregnancy
Lindsey Green
PGY1

3. Congenitally Corrected Transposition of the Great Arteries
L- TGA
Asymptomatic at birth unless another lesion present (VSD or ASD)
If no other lesion, present in adulthood with arrhythmia and/or heart failure.
On PE, loud S2
EKG: Q waves in right precordial leads (V1,V3)
In pregnancy, arrhythmias: 4% , Heart Failure: 7%, cardiovascular events: 2%

5. Transposition of the Great Vessels
D-TGA
Systemic and pulmonary circulations exist in parallel ( 2 closed systems)
Require arterial switch repairs
In Pregnancy, arrhythmias: 15.6%, Heart Failure: 10.8%, cardiovascular events 2.2%

7. Ebstein’s Anomaly Associated with lithium use in mother while pregnant
Varying tricuspid leaflet size: attach to septum and walls of RV: Atrialization of the right ventricle ( small right ventricle and large right atria)
EKG: tall broad “himalayan” p waves. Frequently RBBB
WPW associated arrhythmia, Complete heart block
In Pregnancy (acyanotic woman), arrhythmias: 3.9%, Heart Failure: 3.1%, no cardiovascular events.