Key result
Two consecutive pregnancies in a patient with a Fontan connection were complicated by cardiovascular problems requiring specific anesthesiological and obstetrical management.
This case report highlights the anesthesiological and obstetrical management and cardiovascular challenges of consecutive pregnancies in a patient with a Fontan circulation.
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May guide individualized peripartum care in Fontan patients; leaves open need for prospective data on risks and outcomes.
We report a case of two consecutive pregnancies in a patient where a Fontan connection, a cardiac procedure used since 1971 to provide palliation for patients that cannot support a biventricular circulation was used. Here we analyze the anesthesiological and obstetrical aspects particularly regarding some cardiovascular problems that occurred during the pregnancy and delivery.
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Corticelli et al. (2014) studied this question. Two consecutive pregnancies in a patient with a Fontan connection were complicated by cardiovascular problems requiring specific anesthesiological and obstetrical management.
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