Key result
A patient with a Fontan repair developed multiple pulmonary emboli 10 days after vaginal delivery, highlighting the need for specialized post-partum management in this population.
Highlights the risk and management of pulmonary embolism in post-partum patients with a Fontan circulation.
Postpartum PE risk warrants vigilance in Fontan patients; single-case data leaves optimal peripartum anticoagulation strategies open.
The Fontan procedure was created to address the mixing of pulmonary and systemic venous return in patients with a single functional ventricle. The patient in this case with a Fontan repair experienced multiple pulmonary emboli 10 days post-partum. We outline management and recommendations when treating these patients. (Level of Difficulty: Beginner.)
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Keenahan et al. (2020) studied this question. A patient with a Fontan repair developed multiple pulmonary emboli 10 days after vaginal delivery, highlighting the need for specialized post-partum management in this population.
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