2023 Volume 59 Issue 3 Pages 387-391
［Objective］To clarify the important points in the perinatal management of pregnant cases after repair surgery of complete transposition of the great arteries（TGA）. ［Material and Methods］We review the obstetric and cardiac outcomes of pregnancies after TGA repair those who were managed at our hospital between 2019 and 2022. We used the medical records retrospectively ［Results］There were 4cases and 5pregnancies. The TGA repair procedures were atrial repositioning in 2 cases, arterial repositioning in 1 case, and Rastelli’s surgery in 1 case 2 pregnancies. There were 1 pregnancy with NYHA class II and 4 with class I before pregnancy, and 3 pregnancies required medication before pregnancy. Four pregnancies were delivered at term, and one with NYHA II delivered preterm at 34 weeks of gestation due to maternal arrhythmia. Perinatal complications included 2 pregnancies with 1, 800ml intrapartum bleeding（same case）and 1 pregnancies with SGA of -1.5SD. Patients with right ventricle as systemic ventricle required hospitalization for management during the second trimester of pregnancy and received postpartum multidisciplinary treatment, while those with left ventricle as systemic ventricle preserved cardiac function. ［Conclusion］Perinatal cardiac function and complications differed depending on the postoperative systemic ventricles. Multidisciplinary team is important for the care of pregnancy with repaired TGA since before pregnancy to postpartum, more careful management is required especially in cases right ventricle as systemic ventricle.
