Key result
A 29-year-old Fontan-palliated woman with a twin pregnancy experienced significant cardiovascular deterioration requiring emergency caesarean section at 33 weeks of gestation.
Case Report (n=1)
Twin pregnancy in Fontan-palliated patients can lead to significant cardiovascular deterioration, highlighting the need for meticulous pre-conception counselling and strict perinatal care.
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May signal high decompensation risk in Fontan twin pregnancies; leaves open optimal management strategies.
The Fontan connection, originally described in 1971, is used to provide palliation for patients with many forms of CHDs that cannot support a biventricular circulation. An increasing number of females who have undergone these connections in childhood are now surviving into adulthood and some are becoming pregnant. We report a case of a 29-year-old woman who presented with a twin pregnancy at 33 weeks of gestation. She had significant deterioration of her cardiovascular status before the twin babies were delivered by emergency caesarean section owing to associated obstetric complications. This report also highlights the various maternal and fetal complications occurring in pregnancy of Fontan-palliated patients and suggests the need for meticulous pre-conception counselling and strict perinatal care.
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Nair et al. (2016) conducted a case report in Fontan palliation and twin pregnancy (n=1). Twin pregnancy was evaluated on Cardiovascular status and obstetric complications. A 29-year-old Fontan-palliated woman with a twin pregnancy experienced significant cardiovascular deterioration requiring emergency caesarean section at 33 weeks of gestation.
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