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Abstract
RÉSUMÉ
La tétralogie de Fallot est l’une des cardiopathies cyanogènes les plus fréquentes. Sa prise en charge précoce chirurgicale permet aux enfants porteurs de cette pathologie d’avoir une espérance et une qualité de vie quasiment normale. Ainsi, la conduite jusqu’à son terme d’une grossesse chez une patiente porteuse d’une telle malformation est possible et largement décrite chez les patientes opérées4. Par contre chez une patiente non opérée, cela reste exceptionnel. Nous décrivons ici le cas d’une patiente porteuse d’une tétralogie de Fallot non opérée ayant mené à son terme une grossesse.
ABSTRACT
Tetralogy of Fallot is one of the most common cyanogenic heart diseases. Early surgical management allows children with this pathology to have an almost normal life expectancy and quality of life. Thus, the conduct of a pregnancy to term in a patient with such a malformation is possible and widely described in patients who have undergone surgery. On the other hand, in a patient who has not had surgery, this remains exceptional. We describe the case of a patient with a tetralogy of Fallot who was not operated on and who carried a pregnancy to term.
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References
- 1. Van der Linde D, Konings EEM, Slager MA, Witsenburg M, Helbing WA, Takkenberg JJM, et al. Birth Prevalence of Congenital Heart Disease Worldwide : A Systematic Review and Meta-Analysis. Journal of the American College of Cardiology. 2011 15;58(21):2241–7
- 2. Pézard P, Bonnemains L, Boussion F, Sentilhes L, Allory P, Lépinard C, Guichet A, Triau S, Biquard F, Leblanc M, Bonneau D, Descamps P. « Influence of ultrasonographers training on prenatal diagnosis of congenital heart diseases: a 12-year population-based study » Prenat Diagn. 2008 Nov;28(11):1016-22
- 3. NollertG. et al. Long-term survival in patients with repair of tetralogy of Fallot: 36-year follow-up of 490 survivors of the first year after surgical repair J Am Coll Cardiol (1997)
- 4. V. Regitz-Zagrosek, J.W. Roos-Hesselink, J. Bauersachs, et al.
- 5. 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy
- 6. Stensen N. « Embryo Monstro Affins Parisiis Dissectus » Acta Med Philos Hafniensa 1671– 72;1:202–203
- 7. Akoudad, H., Cherti, M., Lahlou, I., Housni, A., et al. (2000). La tétralogie de Fallot : aspects cliniques et thérapeutiques. Maroc Médical, 22(3). httpss://revues.imist.ma/index.php/MM/article/view/78.
References
1. Van der Linde D, Konings EEM, Slager MA, Witsenburg M, Helbing WA, Takkenberg JJM, et al. Birth Prevalence of Congenital Heart Disease Worldwide : A Systematic Review and Meta-Analysis. Journal of the American College of Cardiology. 2011 15;58(21):2241–7
2. Pézard P, Bonnemains L, Boussion F, Sentilhes L, Allory P, Lépinard C, Guichet A, Triau S, Biquard F, Leblanc M, Bonneau D, Descamps P. « Influence of ultrasonographers training on prenatal diagnosis of congenital heart diseases: a 12-year population-based study » Prenat Diagn. 2008 Nov;28(11):1016-22
3. NollertG. et al. Long-term survival in patients with repair of tetralogy of Fallot: 36-year follow-up of 490 survivors of the first year after surgical repair J Am Coll Cardiol (1997)
4. V. Regitz-Zagrosek, J.W. Roos-Hesselink, J. Bauersachs, et al.
5. 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy
6. Stensen N. « Embryo Monstro Affins Parisiis Dissectus » Acta Med Philos Hafniensa 1671– 72;1:202–203
7. Akoudad, H., Cherti, M., Lahlou, I., Housni, A., et al. (2000). La tétralogie de Fallot : aspects cliniques et thérapeutiques. Maroc Médical, 22(3). httpss://revues.imist.ma/index.php/MM/article/view/78.