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Success in a Fontan pregnancy: how important is ventricular function?

Part of: Functionally Univentricular Heart

Published online by Cambridge University Press:  28 November 2018

M. Victoria Ordonez ,
Johanna Trinder  and
Stephanie L. Curtis
M. Victoria Ordonez
Affiliation:
University Hospitals Bristol NHS Trust, Bristol, UK
Johanna Trinder
Affiliation:
St Michael’s Hospital, Bristol, UK
Stephanie L. Curtis*
Affiliation:
University Hospitals Bristol NHS Trust, Bristol, UK
*
Author for correspondence: Stephanie L. Curtis, MB, ChB, BSc (Hons), FRCP, FESC, University Hospitals Bristol NHS Trust, Marlborough Street, Bristol BS2 8HW, UK. Tel: +44 117 342 5967; Fax: 00 173 422 5968; E-mail: stephanie.curtis@UHBristol.nhs.uk
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Abstract

The Fontan operation is a palliative surgical procedure for patients whose hearts cannot support a biventricular circulation. The haemodynamic changes that occur in pregnancy are particularly challenging for Fontan patients and the outcomes are variable. We present a case where fetal outcome was particularly poor despite a lack of high risk features pre-pregnancy.

Keywords

Fontan circulationcardiac outputpregnancyfetal outcomes
Type
Brief Report
Information
Cardiology in the Young , Volume 29 , Issue 2 , February 2019 , pp. 225 - 227
Copyright
© Cambridge University Press 2018 

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Footnotes

Cite this article: Ordonez MV, Trinder J, Curtis SL. (2018). Success in a Fontan pregnancy: how important is ventricular function? Cardiology in the Young page 225 of 227. doi: 10.1017/S1047951118001865

References

1. Greutmann, M, Pieper, PG. Pregnancy in women with congenital heart disease. Eur Heart J 2015; 36.37: 2491–2499.10.1093/eurheartj/ehv288Google Scholar
2. Thorne, S, MacGregor, A, Nelson-Piercy, C. Risks of contraception and pregnancy in heart disease. Heart. 2006; 92: 1520–1525.Google Scholar
3. Drenthen, W, Boersma, E, Balci, A, et al. Predictors of pregnancy complications in women with congenital heart disease. Eur Heart J 2010; 31: 2124–2132.Google Scholar
4. Gewillig, M, Brown, SC. The Fontan circulation after 45 years: update in physiology. Heart. 2016; 102: 1081–1086.10.1136/heartjnl-2015-307467Google Scholar
5. Canobbio, MM, Mair, DD, van der Velde, M, Koos, BJ. Pregnancy outcomes after the Fontan repair. J Am Coll Cardiol 1996; 28: 763–767.10.1016/0735-1097(96)00234-3Google Scholar
6. Gouton, M, Nizard, J, Patel, M, et al. Maternal and fetal outcomes of pregnancy with Fontan circulation: a multicentric observational study. Int J Cardiol 2015; 187: 84–89.10.1016/j.ijcard.2015.03.344Google Scholar
7. Zentner, D, Kotevski, A, King, I, Grigg, L, d’Udekem, Y. Fertility and pregnancy in the Fontan population. Int J Cardiol 2016; 208: 97–101.Google Scholar
8. Bonner, SJ, Asghar, O, Roberts, A, Vause, S, Clarke, B, Keavney, B. Cardiovascular, obstetric and neonatal outcomes in women with previous Fontan repair. Eur J Obstet Gynecol Reprod Biol 2017; 219: 53–56.Google Scholar
9. Arif, S, Chaudhary, A, Paul, F, et al. Pregnancy outcomes in patients with a Fontan circulation and proposal for a risk-scoring system: single centre experience. J Congenit Cardiol 2017; 1: 10.Google Scholar
10. Cauldwell, M, Steer, PJ, Bonner, S, et al. Retrospective UK multicentre study of the pregnancy outcomes of women with a Fontan repair. Heart 2018; 104: 401–406.Google Scholar