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Case Reports in Cardiology
Volume 2012 (2012), Article ID 841571, 3 pages
http://dx.doi.org/10.1155/2012/841571
Case Report

Postpartum Deterioration of Hemodynamics in a Case of Uncorrected Ebstein's Anomaly

1Department of Pediatrics, Tohoku University Graduate School of Medicine, Miyagi, Sendai 980-8574, Japan
2Department of Pediatric Cardiology, Nagano Children’s Hospital, Toyoshina, Nagano 399-8288, Japan
3Division of Cardiovascular Surgery, Tohoku University Graduate School of Medicine, Miyagi, Sendai 980-8574, Japan

Received 10 May 2012; Accepted 6 June 2012

Academic Editors: M.-H. Jim and K. Roberts-Thomson

Copyright © 2012 Masato Kimura et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Ebstein's anomaly is a rare congenital cardiac malformation that is characterized by abnormalities of the tricuspid valve and right ventricle. Pregnancy is usually well tolerated unless cyanosis or arrhythmia develops. We report a case with Ebstein's anomaly, whose condition was asymptomatic before pregnancy but remarkably deteriorated down during the postpartum period, even though a successful pregnancy and cardiac surgery were achieved. Women with Ebstein's anomaly should be carefully assessed and may need to be advised to have corrective surgery prior to pregnancy even if they were asymptomatic.