Document Detail

Pregnancy after the fontan procedure for tricuspid atresia. A case report.
MedLine Citation:
PMID:  8728087     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Pregnancy is contraindicated in uncorrected tricuspid atresia. Even following palliative surgery with the Fontan procedure, only four pregnancies have been reported. CASE: A 32-year-old female presented at 8 weeks' gestation in her first pregnancy with a history of the Fontan procedure performed seven years earlier for cardiac decompensation despite two previous palliative procedures for tricuspid atresia. She remained class I with no deterioration and required no medication throughout the pregnancy. Amniocentesis for positive maternal alpha-fetoprotein screening was normal. The pregnancy was complicated by antepartum hemorrhage at 29 weeks and premature rupture of membranes at 33 weeks, resulting in preterm labor and delivery of a 2.5-kg infant five days later. Apart from postpartum hemorrhage, the puerperium was uneventful, and the patient was well 20 weeks after delivery. CONCLUSION: Five similar pregnancies, including this one, have been reported. Although all were successful, three infants were preterm and two growth retarded. This observation suggests that for these patients, pregnancy must be monitored closely even though the mothers may be hemodynamically stable.
T T Lao; M Sermer; J M Colman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  41     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  1996 Apr 
Date Detail:
Created Date:  1996-10-10     Completed Date:  1996-10-10     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  287-90     Citation Subset:  IM    
Special Pregnancy Unit, Toronto Hospital, University of Toronto, Ontario, Canada.
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MeSH Terms
Fetal Growth Retardation / epidemiology,  etiology
Fetal Membranes, Premature Rupture / epidemiology,  etiology
Fontan Procedure*
Obstetric Labor, Premature / epidemiology,  etiology
Pregnancy / physiology*
Pregnancy Outcome*
Risk Factors
Tricuspid Atresia / physiopathology,  surgery*

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