Pregnancy after Fontan repair of tricuspid atresia.
Publication/Presentation Date
4-1-1991
Abstract
We have described a patient who had a cyanotic congenital heart disease (type Ib tricuspid atresia), with initial palliation accomplished in childhood via a Glenn procedure. In 1985, she had a Fontan repair with the Bjork modification; 3 years later she achieved her first pregnancy at age 27. Maternal Doppler echocardiography in early pregnancy showed good flow through the constructed conduit, with normal left ventricular size and function. Fetal echocardiography at 22 weeks' gestation via two-dimensional, M-mode, pulsed Doppler, and color flow mapping revealed no evidence of fetal cardiac disease. At 25 weeks' gestation recalcitrant preterm labor developed, and the infant was delivered spontaneously. Labor, delivery, and puerperium were uncomplicated, and the newborn (though too premature to survive) was of appropriate weight for gestational age, without evidence of congenital heart disease or other anomalies. We believe this is the first report of pregnancy and spontaneous delivery in a patient who has had Fontan repair of a congenital heart defect.
Volume
84
Issue
4
First Page
532
Last Page
534
ISSN
0038-4348
Published In/Presented At
Hess, D. B., Hess, L. W., Heath, B. J., Lehan, P. H., McColgin, S. W., Martin, J. N., Jr, & Morrison, J. C. (1991). Pregnancy after Fontan repair of tricuspid atresia. Southern medical journal, 84(4), 532–534. https://doi.org/10.1097/00007611-199104000-00036
Disciplines
Medicine and Health Sciences
PubMedID
1707556
Department(s)
Department of Obstetrics and Gynecology
Document Type
Article