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#22 De:  Carlos Viscuso <caviscuso@infovia.com.ar>
Enviado: Jueves, 10 de  Febrero  2000 21:07
Asunto: Tetralogia de Fallot y embarazo?/Tetralogy of Fallot and pregnancy?
Sponsored by: Productos Roche
Queridos colegas: les escribo para presentarles un caso complejo que de no poder asesorarme, al menos podran aconsejarme.
Se trata de una paciente de 20 anios portadora de Tetralogia de Fallot cianotica completa a quien a los 6 anios de edad se le
practico una cirugia paliativa de Blalock Tausig. Hace 4 anios, quedo embarazada deteriorando su clase funcional por crisis
hipoxicas e hipercianoticas que obligo, en el ultimo trimestre del embarazo a practicar cesarea de urgencia. Sin embargo, persistio
severamente sintomatica hasta la fecha que consulta nuevamente por embarazo de ocho semanas.
Que se deberia hacer en forma inmediata con esta paciente a vuestro criterio en este momento, ya que no quedan dudas que esta
indicada la cirugia correctiva total.
Les agradeceria me enviaran su opinion.
Aguardando su respuesta, aprovecho la oportunidad para saludarlos atte

Dear colleagues:
I am writing to you, to present a complex case about which if you may not inform me, at least you may advise me.
This is a 20-year-old patient, carrier of complete cyanotic Fallot Tetralogy, in whom a Blalock Tausig palliative surgery was
performed when she was 6. Four years ago, she got pregnant, impairing her functional class due to hypoxic and hypercyanotic crises
that forced us to perform on her an urgent cesarean in the last trimester of pregnancy. However, it persisted severely symptomatic
until the date when she consulted again due to an eight-week pregnancy.
What should be immediately done with this patient according to your criteria in this moment, since there is no doubt that total
corrective surgery is indicated.
I would be grateful if you could send me your opinions.
I remain waiting for your replies, and I take advantage of the opportunity to send you my regards.
Dr. Carlos Viscuso

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