Congenital heart disease is the most common birth defect, affecting 1%–1.2% of live born infants. Pulmonary atresia with intact ventricular septum (PA-IVS) accounts for <1% of all total heart defects. The cause of PA-IVS has been unclear. Thus, experience for prenatal diagnosis of PA-IVS is limited in any single institution. This is the case of a 28-year-old gravida 1 para 0 who came in at 34 + 5 weeks of gestational age. Fetal two-dimensional (2D) echocardiography revealed Type II PA-IVS, higher risk for univentricular circulation postnatally. She gave birth at term by vaginal delivery, with confirmed findings through a 2D echocardiography. Prenatal diagnosis of PA-IVS allows options for the termination of pregnancy, fetal cardiac interventional therapy, early postnatal initiation of prostaglandin E1, and planned early neonatal interventional surgeries for palliation and repair. Early assessment of fetal cardiac features is useful for a better outcome.

Human ; Female ; Adult: 25-44 Yrs Old ; Prenatal Diagnosis ; Pulmonary Atresia

Obstetric hemorrhage is the most important cause of maternal mortality worldwide approximately 27.1%. Pseudoaneurysm of the uterine artery is rare but a potentially life-threatening complication reported to occur. In the Philippines, experience with these kinds of vascular abnormalities is limited. This is a case of a 26-year old Gravida 2 Para 1 (1011) eight weeks post-cesarean section with profuse vaginal bleeding. Transvaginal ultrasonography with doppler revealed arterio-venous malformation of the cervix with high arterial pulsations. Pelvic angiography revealed brisk contrast extravasation and pooling at the fundal branch of the left uterine artery consistent with pseudoaneurysm for which she successfully underwent superselective coil embolization. Repeat ultrasonography after one week showed absence of arterial pulsations on the cervical echogenicity. Despite a recent proliferation of reports, uterine artery pseudoaneurysm still remains to be a rare cause of unexplained postpartum hemorrhage, which requires a high index of clinical suspicion for diagnosis.

Human ; Female ; Adult ; Cesarean Section ; Postpartum Hemorrhage ; Aneurysm, False ; Uterine Artery Embolization