Pregnancy in women with Fontan physiology. (December 2011)

• Record Type: Journal Article
• Authors: Le Gloan, Laurianne; Mercier, Lise-Andrée; Dore, Annie; Marcotte, François; Mongeon, François-Pierre; Ibrahim, Réda; Asgar, Anita; Poirier, Nancy; Khairy, Paul
• Is Part Of: Expert review of cardiovascular therapy. Volume 9:Number 12(2011)
• Page Start: 1547
• Page End: 1556
• Publication Date: 2011-12
• Subjects: congenital heart disease -- Fontan procedure -- high-risk obstetrics -- pregnancy -- univentricular heart; Cardiovascular agents -- Research -- Periodicals; 616.12061
• DOI: 10.1586/erc.11.158
• Languages: English
• ISSNs: 1477-9072

Abstract

Advances in the care of patients with a univentricular heart have enabled the majority to survive well into adulthood. Consequently, an increasing number of women with Fontan palliation are contemplating pregnancy. This review summarizes physiologic modifications related to pregnancy in the setting of single-ventricle physiology, discusses potential maternal cardiovascular concerns and describes commonly encountered obstetrical and neonatal complications. Management issues are addressed, including counseling, anesthetic considerations and the need for multidisciplinary specialized care.