Key result
A 35-year-old woman with Fontan palliation successfully tolerated four pregnancies, delivering live, low birth weight neonates despite multiple miscarriages.
Why the study?
Can a patient with Fontan palliation for congenital heart disease tolerate pregnancy with successful maternal and fetal outcomes?
Case Report (n=1)
Can a patient with Fontan palliation for congenital heart disease tolerate pregnancy with successful maternal and fetal outcomes?
Pregnancy can be tolerated in clinically stable patients with Fontan palliation, though it carries a high risk of miscarriage and low birth weight neonates.
May inform counseling in stable Fontan patients; leaves open need for prospective multicenter data on outcomes.
BACKGROUND: Fontan is a palliative procedure in patients with single ventricle. Single ventricle supports systemic cardiac output and pulmonary blood flow is passively directed to the right pulmonary artery. Women with Fontan palliation are reported to have increased maternal risk during pregnancy. There are few reports of successful pregnancies in such cases. However data on these pregnancies is lacking, we consider this to be the first reported from kingdom of Saudi Arabia. CASE PRESENTATION: We present a 35-year-old woman from the Kingdom of Saudi Arabia who had Fontan surgery and who had four successful pregnancies and multiple miscarriages. She delivered live, low birth weight neonates. CONCLUSION: This report provides an anecdotal evidence that pregnancy can be tolerated in an adequate Fontan patient with successful outcomes.
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Najashi et al. (2017) conducted a case report in Fontan palliation and congenital heart disease (n=1). Pregnancy in Fontan palliation was evaluated on Pregnancy outcomes. A 35-year-old woman with Fontan palliation successfully tolerated four pregnancies, delivering live, low birth weight neonates despite multiple miscarriages.
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