Volume : 6, Issue : 12, December - 2017

Achondroplastic Dwarf with Aortic Stenosis and Pulmonary Stenosis with Post Cardiac Intervention - A Successful Obstetric Outcome

Preeti Lewis, Amrita Jain, Aditi Abhade

Abstract :

<p>&nbsp;<span class="s4" style="text-align: justify;"><span lang="EN-IN">Achondroplasia, inherited as an autosomal dominant trait,</span></span><span class="apple-converted-space" style="text-align: justify;"><span lang="EN-IN">&nbsp;</span></span><span class="s4" style="text-align: justify;"><span lang="EN-IN">is a genetic disorder of bone growth occurring in 1:10,000 to 1:40,000 in all races and sexes.</span></span><span class="apple-converted-space" style="text-align: justify;"><span lang="EN-IN">&nbsp;</span></span><span class="s4" style="text-align: justify;"><span lang="EN-IN">Management of pregnancy in achondroplastic dwarfs is inherently high risk, due to its adverse effect on obstetrical outcomes, namely, pre-eclampsia, polyhydramnios, respiratory compromise, contracted pelvis etc. Incidence of aortic valve disease</span></span><span class="apple-converted-space" style="text-align: justify;"><span lang="EN-IN">&nbsp;</span></span><span class="s4" style="text-align: justify;"><span lang="EN-IN">and pulmonary valve disease</span></span><span class="apple-converted-space" style="text-align: justify;"><span lang="EN-IN">&nbsp;</span></span><span class="s4" style="text-align: justify;"><span lang="EN-IN">in achondroplastic &nbsp;patients is again very rare, with hardly a handful of documented cases available. We present this case of a 21 year old primigravida</span></span><span class="apple-converted-space" style="text-align: justify;"><span lang="EN-IN">&nbsp;</span></span><span class="s4" style="text-align: justify;"><span lang="EN-IN">with aortic stenosis</span></span><span class="apple-converted-space" style="text-align: justify;"><span lang="EN-IN">&nbsp;</span></span><span class="s4" style="text-align: justify;"><span lang="EN-IN">and pulmonary stenosis, with</span></span><span class="apple-converted-space" style="text-align: justify;"><span lang="EN-IN">&nbsp;</span></span><span class="s4" style="text-align: justify;"><span lang="EN-IN">cardiac symptoms aggravated due to the pregnancy, who</span></span><span class="apple-converted-space" style="text-align: justify;"><span lang="EN-IN">&nbsp;</span></span><span class="s4" style="text-align: justify;"><span lang="EN-IN">underwent a valvuloplasty</span></span><span class="apple-converted-space" style="text-align: justify;"><span lang="EN-IN">&nbsp;</span></span><span class="s4" style="text-align: justify;"><span lang="EN-IN">during her gestational period, culminating in a successful Caesarean delivery.</span></span></p> <p class="s3" style="margin:0in;margin-bottom:.0001pt;text-align:justify;&#10;text-justify:inter-ideograph;line-height:200%"><span lang="EN-IN" style="font-family: -webkit-standard, serif;"><o:p></o:p></span></p>