Ebstein’s anomaly during pregnancy: Case series
Ebstein’s anomaly is a rare congenital anomaly with an apical displacement of the septal tricuspid leaflet in association with leaflet dysplasia. It may cause varied presentations in pregnancy depending on the severity of the lesion.

Pregnancy complicated with uncorrected Ebstein’s anomaly is uncommon and may pose a serious threat to maternal and fetal life in the clinical setting of altered hemodynamics of pregnancy.

Data of eight pregnancies in four women with Ebstein’s anomaly who delivered in a tertiary care institute was analyzed.

Among the four women, one had associated atrial septal defect, one had pulmonary hypertension and three had right bundle branch block. There were two miscarriages and six successful pregnancies resulting in live births. Three of the pregnancies were delivered by cesarean section. There was one pregnancy complicated by severe preeclampsia, no preterm births, or maternal cardiac complications. There was one neonate with congenital ostium secundum atrial septal defect.

All patients were managed by a multidisciplinary team involving an Obstetrician, Cardiologist, Anaesthesiologist, and Neonatologist.

Journal of Obstetrics and Gynaecology
Source: https://doi.org/10.1080/01443615.2021.1932777