Pregnancy and the Rastelli operation

Radford, Dorothy J. and Stafford, Gregory (2005) Pregnancy and the Rastelli operation. Australian and New Zealand Journal of Obstetrics and Gynaecology, 45 3: 243-247. doi:10.1111/j.1479-828X.2005.00396.x


Author Radford, Dorothy J.
Stafford, Gregory
Title Pregnancy and the Rastelli operation
Journal name Australian and New Zealand Journal of Obstetrics and Gynaecology   Check publisher's open access policy
ISSN 0004-8666
1479-828X
Publication date 2005-06
Sub-type Article (original research)
DOI 10.1111/j.1479-828X.2005.00396.x
Volume 45
Issue 3
Start page 243
End page 247
Total pages 5
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Language eng
Formatted abstract
Background: The aim of surgical correction of congenital heart disease is for the patient to live a relatively normal life, including potential pregnancy and childbirth. The Rastelli repair operation using a valved conduit for certain complex congenital heart lesions has resulted in survival into adult life.

Aims: We reviewed reproductive outcome of 22 women over 18 years of age who were survivors of the Rastelli operation performed between 1977 and 1999.

Results: Six women had a total of 12 pregnancies with six live births. Three women, with complex transposition of the great arteries, developed more severe subaortic obstruction during pregnancy. All required further heart surgery. Delivery was by Caesarean section in three patients and vaginally in the other three. All infants were healthy and free from defects. Two women had tubal ligations because of their cardiac problems.

Conclusions:
Women who have had Rastelli repair operation for complex congenital heart disease can have successful pregnancies. Subaortic stenosis can become a problem and should ideally be eliminated before pregnancy. Because of multiple operations, complications and genetic concerns, some women choose not to reproduce. Careful cardiac evaluation before, during and after pregnancy is essential.
Keyword Congenital heart disease
Pregnancy
Rastelli operation
Subaortic stenosis
Truncus arteriosus
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: ERA 2012 Admin Only
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