PREGNANCY AND EBSTEIN ANOMALY - CASE REPORT

Background- Ebstein Anomaly is a rare and complex congenital cardiac disease characterized by displacement of the posterior and septal leaflets of the bicuspid valve towards the apex of the right ventricle resulting in atrialisation of the right ventricle, severe tricuspid regurgitation and right atrial enlargement. Prevalence rate is 0.3-0.5%. Average life expectancy at birth of a patient with Ebstein Anomaly is 25 - 30 years. Due to its rarity, this case is presented. Case Presentation- A 28 years old Primigravida at 22weeks of gestation, a known case of Ebstein anomaly with clubbing and cyanosis came to the OPD for further management. She was started on Beta Blockers and antenatal period was uneventful except for the fetus developing late onset IUGR. Elective LSCS was done at 36 weeks in view of IUGR and poor bishop's score and a low birth weight baby of about 2 kgs was delivered. Intrapartum and postpartum period were uneventful. Ebstein anomaly during pregnan Conclusion- cy can have varied clinical presentation. Hence multidisciplinary approach with close surveillance during pregnancy is necessary to diagnose complications and treat them early.