Successful Pregnancy in A Patient with Fontan Surgery: A Case Report
Abstract
The Fontan operation is a palliative procedure for patients with several forms of congenital heart disease unsuitable for biventricular circulation, especially tricuspid valve atresia. In this procedure, the vena cava flow is directed to the pulmonary arteries bypassing the ventricle. Pregnant patients with Fontan surgery in their post-surgical history have more maternal risks. We should counsel patients with saturations <85%, depressed ventricular function, refractory arrhythmia, or protein-losing enteropathy against pregnancy (mWHO; IV). In this study, we review a pregnant case that has successful pregnancy and Fontan palliation and lv systolic heart failure (LVEF: 35%) in her pas t medical history.
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2. Al Najashi, K.S., et al., Four successful pregnancies in a patient with Fontan palliation and congenital heart disease: a case report. J Cardiothorac Surg, 2017. 12(1): p. 104. https://doi. org/10.1186/s13019-017-0678-1
3. Khairy, P., N. Poirier, and L.A. Mercier, Univentricular heart. Circulation, 2007. 115(6): p. 800-12. https://doi.org/10.1161/ CIRCULATIONAHA.105.592378
4. Gorton, M., et al., Maternal and fetal outcomes of Pregnancy with Fontan circulation: A multicentric observational study. Int J Cardiol, 2015. 187: p. 84-9. https://doi.org/10.1016/j. ijcard.2015.03.344
5. Canobbio, M.M., et al., Pregnancy outcomes after the Fontan repair. J Am Coll Cardiol, 1996. 28(3): p. 763-7. https://doi. org/10.1016/0735-1097(96)00234-3
6. Pundi, K.N., et al., Contraception Practices, and Pregnancy Outcome in Patients after Fontan Operation. Congenit Heart Dis, 2016. 11(1): p. 63-70. https://doi.org/10.1111/chd.12291
7. (WHO), W.H.O., Global Antimicrobial Resistance, and Use Surveillance System (GLASS) Report: 2021. 2021: Geneva, Switzerland.
8. Barbisan, P.R.T., et al., Macular phototoxicity after corneal cross-linking. Clinical ophthalmology (Auckland, N.Z.), 2018. 12: p. 1801-1807. https://doi.org/10.2147/OPTH.S176025
| Files | ||
| Issue | Vol 7 No 5 (2022): September-October | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/crcp.v7i5.11867 | |
| Keywords | ||
| Fontan circulation pregnancy Congenital heart Disease | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Zamansaraei S, Nazari Sabet M, Bahrami P. Successful Pregnancy in A Patient with Fontan Surgery: A Case Report. CRCP. 2023;7(5):249-252.
