<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec><h3>BACKGROUND</h3>
<p>With an overall incidence of congenital cardiac disease, tetralogy of fallot (ToF) is the most clinical of cyanotic heart disease. The anomalies seen in patients with ToF are due to an inappropriate anterior and cephalad displacement of the interventricular septum’s infundibular (outflow tract) component. Ventricular septal defect, right ventricular hypertrophy, overriding aorta, and pulmonary stenosis are the four defects that result from this condition. The physiology of healthy women will undergo several changes affecting body system, including the cardiovascular system. Pregnancy and delivery have a high risk for most ill women, including those with uncorrected ToF, due to extensive physiological adaption and alterations. For patients with ToF, it continues to be a significant contributor to maternal morbidity (62.5%), mortality (10%), and neonatal adverse outcomes.</p>
</sec>
<sec><h3>CASE PRESENTATION</h3>
<p>A 18-year-old female in her first pregnancy at 28 weeks was referred to Saiful Anwar Hospital with uncorrected ToF since she was 2 years old. She suggested repairing ToF at National Cardiovascular Center Harapan Kita Jakarta but her parents still refused. She married at 18 years old and she was pregnant unplanned before. Then, she was referred to RSSA for further management.</p>
</sec>
<sec><h3>CONCLUSSION</h3>
<p>Pregnancy has been related with higher risks of morbidity and mortality for women with congenital cardiac disease. ToF is the most prevalent cyanosis congenital heart disease. These are poorly tolerated and produce serious complications, including maternal and neonatal mortality. Prenatal counseling is crucial to identify risk factors for the patients and to reassure many patients who are at low risk.</p>
</sec>
</abstract>

Departement Cardiomegaly and Vascular Medicine

Successful Pregnancy with Uncorrected Tetralogy of Fallot: An Interdisciplinary Team Approach

<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec><h3>BACKGROUND</h3>
<p>Aortic dissection refers to the disruption of the medial layer of the aorta caused by intramural hemorrhage. This leads to the separation of the layers of the aortic wall, resulting in the establishment of a true lumen and a false lumen, which may or may not be connected. The prevalence of aortic dissection ranges from 0.2% to 0.8%. Additionally, a notable percentage, surpassing 20%, of individuals exhibit a familial inclination towards thoracic aorta dissection.</p>
</sec>
<sec><h3>CASE PRESENTATION</h3>
<p>A male patient in his middle age, 41 years old, with risk factors of uncontrolled hypertension, obesity, and a familial propensity to aortic dissection, presented to the emergency department exhibiting symptoms of chest pain. It characterized the sensation as having a tearing quality and indicated that it extended towards the abdomen region. The results of the test revealed several notable findings. A blood pressure reading of 235/133, a wider mediastinum and cardiomegaly on the chest X-ray, a slight increase in Hs-Troponin levels, and an electrocardiogram showed sinus rhythm with left ventricular hypertrophy. He underwent a computed tomography scan, which revealed the existence of an aortic dissection that extended from the ascending to the descending aorta without any aortic valve involvement. He was assessed with a Stanford A. DeBakey I aortic dissection, and underwent successful therapy for aortic arch replacement with the elephant trunk procedure, and plans to undertake an endovascular procedure for the descending aorta in the upcoming period.</p>
</sec>
<sec><h3>CONCLUSION</h3>
<p>Aortic dissection is a pathological disorder that may exhibit hereditary inheritance, and the choice of surgical technique is dependent on the specific underlying disease.</p>
</sec>
</abstract>

Department of Cardiology and Vascular Medicine, Faculty of Medicine

Universitas Brawijaya, Saiful Anwar General Hospital

Department of Thoracic Cardiac and Vascular Surgery, Faculty of Medicine

Inherited Stanford A DeBakey I Aortic Dissection: Unveiling Genetic Predispositions and Surgical Management

<abstract xmlns="http://www.w3.org/1999/xhtml">

<p>Acute myocard infarct during pregnancy is a rare event with high mortality and women with cardiac comorbid such as hypercholesterolemia, hypertension, and history of myocardial infarction are one of risk that should be warning. However, the main etiology myocard infarct in pregnancy is spontaneous coronary artery dissection, especially in the third semester. Women with unusual chest pain, ST-elevation in electrocardiogram, and sudden cardiac arrest should treat as soon as possible. Patient with unstable condition revascularization is recommended. However, there are several things that should be monitor during revascularization such as consideration type of stent, how much contrast that will be use, and planning after stent implantation. Thrombolysis should be the last option because of bleeding risk. Therapy during and after pregnancy should be monitor continuously because of their side effect to mother and baby, and delivery in women with acute myocard infarct should be one of main concerns. With this review, we hope that we can raise our awareness in pregnant women with their comorbid and their future pregnancy.</p>
</abstract>

Department of Cardiology and Vascular Medicine

Myocardial Infarction in Pregnancy: What Should We Do?

Volume 5 (2024): Issue 1 (January 2024)

Volume 4 (2023): Issue 1 (December 2023)

South East European Journal of Cardiology

The South East European Journal of Cardiology (SEEJCA) is an open-access, peer-reviewed journal, founded in 2015 and is restarting its’ publication process this year. SEEJCA is indexed in scientific databases (OpenAIRE, BASE, SciLit, Dimensions) and cooperates with several institutions (Crossref, Sherpa Romeo, Publons). Our mission is to build an internationally recognized journal, for researchers and scientists alike, from different parts of the world and unite in our common goal, new practical research that will expand our knowledge and enrich the cardiology literature with new and break-through research and science. We are inviting you to publish your work in our journal and by that partner with an editorially independent journal, a distinguished world recognized editorial board and editor in chief, that are committed to maintaining the highest standards of medical science in the cardiology field. The peer-review process in our journal is in the safe hands of our distinguished editorial board of world recognized cardiologists. We will be dedicated to a thorough, but fast review process, so we can give our authors a fast delivery of their science to the world cardiology community and make it reproducible for future generations. The journal covers a broad scope of topics in cardiology mostly, but not limited to several areas: General Cardiology, Cardiovascular Imaging, Interventional Cardiology, Cardiac Electrophysiology, Cardiovascular Surgery, Molecular Cardiology, Case Reports in Cardiology, Reviews in Cardiology, Thematic Issues in Cardiology. Our journal team will take great care, so your work is highly visible to a worldwide network of researchers, clinicians, industry professionals, policy makers, media outlets, patients, and the wider public, and we will work with you and your affiliated institutions to expand the impact of your research on the world. Lastly, South East European Journal of Cardiology is an on-line only, Open Access journal, in which published papers are immediately made available free of charge to the scientific community. Archiving Sciendo archives the contents of this journal in Portico - digital long-term preservation service of scholarly books, journals and collections. Plagiarism Policy The editorial board is participating in a growing community of Similarity Check System's users in order to ensure that the content published is original and trustworthy. Similarity Check is a medium that allows for comprehensive manuscripts screening, aimed to eliminate plagiarism and provide a high standard and quality peer-review process. 

South East European Journal of Cardiology

Volume 5 (2024): Issue 1 (January 2024)

Case Report

Successful Pregnancy with Uncorrected Tetralogy of Fallot: An Interdisciplinary Team Approach

Inherited Stanford A DeBakey I Aortic Dissection: Unveiling Genetic Predispositions and Surgical Management

Review article

Myocardial Infarction in Pregnancy: What Should We Do?

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