Original research
Pregnancy outcomes in women with a systemic right ventricle and transposition of the great arteries results from the ESC-EORP Registry of Pregnancy and Cardiac disease (ROPAC)
Compose Response

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g.
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests


  • A rapid response is a moderated but not peer reviewed online response to a published article in a BMJ journal; it will not receive a DOI and will not be indexed unless it is also republished as a Letter, Correspondence or as other content. Find out more about rapid responses.
  • We intend to post all responses which are approved by the Editor, within 14 days (BMJ Journals) or 24 hours (The BMJ), however timeframes cannot be guaranteed. Responses must comply with our requirements and should contribute substantially to the topic, but it is at our absolute discretion whether we publish a response, and we reserve the right to edit or remove responses before and after publication and also republish some or all in other BMJ publications, including third party local editions in other countries and languages
  • Our requirements are stated in our rapid response terms and conditions and must be read. These include ensuring that: i) you do not include any illustrative content including tables and graphs, ii) you do not include any information that includes specifics about any patients,iii) you do not include any original data, unless it has already been published in a peer reviewed journal and you have included a reference, iv) your response is lawful, not defamatory, original and accurate, v) you declare any competing interests, vi) you understand that your name and other personal details set out in our rapid response terms and conditions will be published with any responses we publish and vii) you understand that once a response is published, we may continue to publish your response and/or edit or remove it in the future.
  • By submitting this rapid response you are agreeing to our terms and conditions for rapid responses and understand that your personal data will be processed in accordance with those terms and our privacy notice.
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Vertical Tabs

Other responses

Jump to comment:

  • Published on:
    Response to: “Pregnancy outcomes in women with a systemic right ventricle and transposition of the great arteries results from the ESC-EORP Registry of Pregnancy and Cardiac disease (ROPAC) by Tutarel et al.
    • Magdalena Lipczyńska, cardiologist National Institute Of Cardiology, Warsaw, Poland
    • Other Contributors:
      • Piotr Szymański, cardiologist
      • Lidia Tomkiewicz-Pająk, cardiologist
      • Olga Trojnarska, Cardiologist
      • Piotr Hoffman, Head of Congenital Heart Disease Department

    We read with great interest the recent results from ESC-EORP
    Registry of Pregnancy and Cardiac disease (ROPAC), concerning pregnancy.
    outcomes in women with systemic right ventricle (sRV) and transposition of the
    great arteries (TGA) by Tutarel et al. (1) In Tutarel et al. analysis HF was the
    most frequent maternal complication (9.1%). These results are concordant
    with our previous observations of 24 pregnancies of women with TGA after
    atrial switch operation and matched non-pregnant controls with TGA after atrial
    redirection. 2 In our series 2 women deteriorated from the functional NYHA
    class I to II after the first pregnancy and one woman in her fourth pregnancy
    deteriorated from class I to III. Tutarel’s results reinforce our conclusion that,
    from a cardiologist’s point of view, pregnancy after the Mustard/Senning
    operation was relatively well-tolerated and safe.
    In ROPAC study the information on tricuspid regurgitation (TR) was collected, but was
    not mandatory. Therefore Tutarel et al. concluded that dedicated studies focusing on
    sRV function and TR are warranted. Our dataset provided relevant information
    on sRV and TR. At baseline, all women had preserved or only mildly reduced
    sRV function estimated by echocardiography before pregnancy and absent or
    mild TR. There were no differences between non-pregnant matched controls
    and pregnant women in sRV function, deg...

    Show More
    Conflict of Interest:
    None declared.