ArticleGynecology and pelvic medicine2026
Isolated right ventricular apical hypoplasia with atrial fibrillation in a young female at her third trimester: a case report.
Article in Gynecology and pelvic medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Pregnancy represents a significant life event for most women, inducing extensive physiological adaptations. Consequently, it poses additional risks for women with congenital heart disease (CHD), a leading cause of maternal mortality. Isolated right ventricular apical hypoplasia (IRVAH) is a poorly characterized CHD subset, with pregnancy outcomes remaining unreported. Our case of a primigravida with IRVAH underscores the need for heightened monitoring in this population. Case Description: We present a 28-year-old primigravida at 28 gestational weeks referred for structural right heart failure and paroxysmal atrial fibrillation (AF) with no palpitations and dyspnea. Diagnostic evaluation revealed IRVAH on echocardiography, characterized by preserved left ventricular function, severe tricuspid regurgitation, and right ventricular dilation, alongside electrocardiography showing AF; cardiac magnetic resonance imaging (MRI) subsequently confirmed apical right ventricular hypoplasia with no associated structural anomalies. Management was guided by multidisciplinary consensus, initiating stabilization with oral metoprolol (12.5 mg per dose, twice daily) for resting heart rate control (target heart rate <110 bpm). Pregnancy prolongation strategies included weekly fetal growth scans, daily maternal oxygen saturation (SpO Conclusions: This case demonstrates the critical value of multidisciplinary team collaboration in managing pregnancy complicated by IRVAH, underscoring the need for individualized monitoring and intervention strategies. These findings may serve as a reference for the clinical management of similar cases in the future.
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