Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 16, 2023; 11(35): 8350-8356
Published online Dec 16, 2023. doi: 10.12998/wjcc.v11.i35.8350
Twin pregnancy with sudden heart failure and pulmonary hypertension after atrial septal defect repair: A case report
Chun-Xiao Tong, Tao Meng
Chun-Xiao Tong, Tao Meng, Department of Obstetrical, First Affiliated Hospital of China Medical University, Shenyang 110000, Liaoning Province, China
Author contributions: Meng T designed research; Tong CX performed the literature research; Meng T and Tong CX wrote the paper; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tao Meng, MD, Director, Full Professor, Department of Obstetrical, First Affiliated Hospital of China Medical University, No. 155 Nanjing North Street, Shenyang 110000, Liaoning Province, China. cmumt@163.com
Received: August 3, 2023
Peer-review started: August 3, 2023
First decision: October 24, 2023
Revised: November 14, 2023
Accepted: December 5, 2023
Article in press: December 5, 2023
Published online: December 16, 2023
Core Tip

Core Tip: Long-term hemodynamic abnormalities caused by the late repair of congenital heart disease (CHD) defects are another essential factor in the deterioration of the heart function of pregnant women. This emphasizes the importance of early correction for patients with CHD, which is often overlooked by obstetricians. In this case, the timing of the deterioration in cardiac function coincided with the peak of blood volume and cardiac output during pregnancy, that is, 32-34 wk of pregnancy and within 3 d after delivery. These time periods are vital for cardiac function assessment.