Pregnancy with Fontan circulation: A report of case series in Japan

Research output: Contribution to journalArticlepeer-review

Abstract

Owing to new surgical procedures and medications, more women who have undergone the Fontan procedure reach childbearing ages. We report five cases of pregnancy with Fontan circulation. Case 1 had subchorionic hematoma (SCH), fetal growth restriction (FGR), and preterm labor (PTL). She delivered a 1073 g infant via cesarean section at gestation week 28 because of hemorrhagic shock. Case 2 delivered 2142 g and 2232 g infants at gestation weeks 37 and 36, respectively. She had FGR, PTL, and postpartum hemorrhage (PPH). Case 3 had SCH, PTL, and heart failure. At 36 weeks, labor was induced and she delivered a 2546 g infant by vacuum extraction with epidural analgesia. Cases 4 and 5 resulted in miscarriage. All subjects experienced obstetrical complications. This report discusses pregnant women with Fontan circulation by focusing on affected Japanese women. <Learning objective: More women who have undergone the Fontan procedure reach childbearing ages due to the new surgical procedures and medications. We report five cases and all of them experienced obstetrical complications. Anticoagulation might be one of the causes of postpartum hemorrhage. Labor epidural analgesia could contribute to minimized dynamic circulatory changes during labor. This report can be the literature regarding pregnant women with Fontan circulation in Japan.>

Original languageEnglish
Pages (from-to)161-163
Number of pages3
JournalJournal of Cardiology Cases
Volume21
Issue number4
DOIs
Publication statusPublished - Apr 2020

Keywords

  • Anticoagulant
  • Fontan circulation
  • Labor analgesia
  • Obstetrical complications
  • Pregnancy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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