Cesarean section in a patient with Ebstein’s anomaly: A multidisciplinary approach to high-risk obstetric management
Keywords:
cardio-obstetrics, heart failure, high risk pregnancyAbstract
We present the case of a 37-year-old woman with Ebstein’s anomaly and a prior tricuspid valve replacement. At 38.2 weeks of gestation, she underwent an elective cesarean delivery without complications. We propose a schematic representation of a standardized workflow system for pregnant women with heart disease in obstetric critical care units. Ebstein’s anomaly is a rare congenital heart defect, with a prevalence of less than 0.3%, and limited evidence regarding its prognosis during pregnancy. Management requires a multidisciplinary approach, with primary emphasis on controlling heart failure. Implementation of the proposed workflow reduces indirect maternal mortality. Systematizing evidence-based interventions minimizes human error in complex scenarios and transforms empirical management into a protocol-driven strategy that ensures maternal and fetal safety.
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Copyright (c) 2026 Javier Edmundo Herrera Villalobos, Berenice Almeida Gonzalez Romero
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