Abstract
The course of pregnancy and delivery in a patient after Fontan repair of double-outlet right ventricle is herein presented. She uneventfully delivered a healthy infant in good general condition at 38 weeks of gestation through a caesarian section, at 24 years after cardiosurgery. Although the patient demonstrated a good hemodynamic state after the operation and conceived while being clinically stable, a worsening of her general condition was observed. After a 4-year follow-up it was clear that pregnancy and delivery had a harmful effect on her cardiovascular function.
Similar content being viewed by others
References
Canobbio MM, Mair DD, van der Velde M, Koos BJ. Pregnancy outcomes after Fontan repair. J Am Coll Cardiol 1996;28:763–767.
Ito M, Takagi N, Sugimoto S, Oosawa H, Abe T. Pregnancy after undergoing the Fontan procedure for a double outlet right ventricle: report of a case. Surg Today 2002;32:63–65.
Trojanarska O, Siwinska A, Markwitz W, Ochotny R. Pregnancy and labour in a patient after Fontan operation — a case report (In Polish with English abstract). Kardiol Pol 2003;58:51–52.
Fontan F, Baudet E. Surgical repair for tricuspid atresia. Thorax 1971;26:240–248.
Mair DD, Hagler DJ, Julsrud PR, Puga FJ, Schaff HV, Danielson GK. Early and late results of the modified Fontan procedure for double-inlet left ventricle: the Mayo Clinic experience. J Am Coll Cardiol 1991;18:1727–1732.
van den Bosch AE, Roos-Hesselink JW, Van Domburg R, Bogers AJ, Simoons ML, Meijboom FJ. Long-term outcome and quality of life in adult patients after the Fontan operation. Am J Cardiol 2004;93:1141–1145.
Hoare JV, Radford D. Pregnancy after Fontan repair of complex congenital heart disease. Aust N Z J Obstet Gynaecol 2001;41:464–468.
Dick M, Fyler DC, Nadas AS. Tricuspid atresia: clinical course in 101 patients. Am J Cardiol 1975;36:327–337.
Cannobio MM, Mair DD, Rapkin AJ, Perloff JK. Menstrual pattern in females after the Fontan repair. Am J Cardiol 1990;66:238–240.
Lao TT, Sermer M, Colman JM. Pregnancy after the Fontan procedure for tricuspid atresia. A case report. J Reprod Med 1996;41:287–290.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Suchonska, B., Borowiecka, E., Szymusik, I. et al. The course of pregnancy and delivery in a patient after a double-outlet right ventricle Fontan repair and the influence of this procedure on her general condition: Report of a case. Surg Today 38, 853–856 (2008). https://doi.org/10.1007/s00595-007-3719-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00595-007-3719-x