Abstract: Abstract: Pregnancy with heart disease is the most common cause of non-direct obstetric death and the second highest risk factor for maternal mortality. Because of the normal physiological changes of pregnant women, pregnancy with heart failure usually occurs in the 32-34 weeks of gestation, the delivery period and three days after delivery. For pregnant women with potential risk of heart failure, it is very important to pay close attention to the vital signs of patients, to choose the suitable time and mode to terminate pregnancy for the prognosis of patients. We report a 27-year-old patient with a short height of 1.45 meters. At the age of two, severe kyphoscoliosis was caused by trauma. Later, due to repeated upper respiratory tract infections, pectus carinatum was formed. In late stage of the pregnancy, early stage of heart failure appeared and developed to grade Ⅲ of NYHA heart failure. Finally, The pregnancy was terminated by cesarean section to help the patient give birth, both mother and child were healthy in six months of follow up.

Key words: pregnancy complications, cardiovascular, cesarean section, pectus carinatum, pregnancy with heart disease, spinal deformity