Four successful pregnancies in a patient with Fontan palliation and congenital heart disease: a case report

BACKGROUND: Fontan is a palliative procedure in patients with single ventricle. Single ventricle supports systemic cardiac output and pulmonary blood flow is passively directed to the right pulmonary artery. Women with Fontan palliation are reported to have increased maternal risk during pregnancy....

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Autores principales: Al Najashi, Khalid S., Mehdi, Syed, Mohsin, Shazia, Atiyah, Merna, Abdullah, Hafez A., Abdulhameed, Jassim, Al Zahrani, Ahmed M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5706291/
https://www.ncbi.nlm.nih.gov/pubmed/29183331
http://dx.doi.org/10.1186/s13019-017-0678-1
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author Al Najashi, Khalid S.
Mehdi, Syed
Mohsin, Shazia
Atiyah, Merna
Abdullah, Hafez A.
Abdulhameed, Jassim
Al Zahrani, Ahmed M.
author_facet Al Najashi, Khalid S.
Mehdi, Syed
Mohsin, Shazia
Atiyah, Merna
Abdullah, Hafez A.
Abdulhameed, Jassim
Al Zahrani, Ahmed M.
author_sort Al Najashi, Khalid S.
collection PubMed
description BACKGROUND: Fontan is a palliative procedure in patients with single ventricle. Single ventricle supports systemic cardiac output and pulmonary blood flow is passively directed to the right pulmonary artery. Women with Fontan palliation are reported to have increased maternal risk during pregnancy. There are few reports of successful pregnancies in such cases. However data on these pregnancies is lacking, we consider this to be the first reported from kingdom of Saudi Arabia. CASE PRESENTATION: We present a 35-year-old woman from the Kingdom of Saudi Arabia who had Fontan surgery and who had four successful pregnancies and multiple miscarriages. She delivered live, low birth weight neonates. CONCLUSION: This report provides an anecdotal evidence that pregnancy can be tolerated in an adequate Fontan patient with successful outcomes.
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spelling pubmed-57062912017-12-05 Four successful pregnancies in a patient with Fontan palliation and congenital heart disease: a case report Al Najashi, Khalid S. Mehdi, Syed Mohsin, Shazia Atiyah, Merna Abdullah, Hafez A. Abdulhameed, Jassim Al Zahrani, Ahmed M. J Cardiothorac Surg Case Report BACKGROUND: Fontan is a palliative procedure in patients with single ventricle. Single ventricle supports systemic cardiac output and pulmonary blood flow is passively directed to the right pulmonary artery. Women with Fontan palliation are reported to have increased maternal risk during pregnancy. There are few reports of successful pregnancies in such cases. However data on these pregnancies is lacking, we consider this to be the first reported from kingdom of Saudi Arabia. CASE PRESENTATION: We present a 35-year-old woman from the Kingdom of Saudi Arabia who had Fontan surgery and who had four successful pregnancies and multiple miscarriages. She delivered live, low birth weight neonates. CONCLUSION: This report provides an anecdotal evidence that pregnancy can be tolerated in an adequate Fontan patient with successful outcomes. BioMed Central 2017-11-28 /pmc/articles/PMC5706291/ /pubmed/29183331 http://dx.doi.org/10.1186/s13019-017-0678-1 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Al Najashi, Khalid S.
Mehdi, Syed
Mohsin, Shazia
Atiyah, Merna
Abdullah, Hafez A.
Abdulhameed, Jassim
Al Zahrani, Ahmed M.
Four successful pregnancies in a patient with Fontan palliation and congenital heart disease: a case report
title Four successful pregnancies in a patient with Fontan palliation and congenital heart disease: a case report
title_full Four successful pregnancies in a patient with Fontan palliation and congenital heart disease: a case report
title_fullStr Four successful pregnancies in a patient with Fontan palliation and congenital heart disease: a case report
title_full_unstemmed Four successful pregnancies in a patient with Fontan palliation and congenital heart disease: a case report
title_short Four successful pregnancies in a patient with Fontan palliation and congenital heart disease: a case report
title_sort four successful pregnancies in a patient with fontan palliation and congenital heart disease: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5706291/
https://www.ncbi.nlm.nih.gov/pubmed/29183331
http://dx.doi.org/10.1186/s13019-017-0678-1
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