Major cariovascular malformation risk – pregnancy termination decision factor in first trimester

A singleton intrauterine pregnancy was diagnosed 5w 6d in a 33 years old patient with congenital coarctation of aorta and persistent ductus arteriosus, surgically corrected in childhood. The pregnancy evolved without medical problems or patient complaints. Also there were no complaints nor problems from cardiovascular point of view. Screening for aneuploidy and major anomalies was performed at 12 weeks and 2 days of pregnancy. During the ultrasound scan a nuchal translucency of 6.5mm was identified. Also a tricuspid valve regurgitation and a reverse flow in ductus venosus were noted. Normal 46XX cariotype of the…