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Twin pregnancy in a Fontan-palliated patient

Published online by Cambridge University Press:  29 April 2016

Anupama Nair ,
Sitaraman Radhakrishnan  and
Krishna S. Iyer
Anupama Nair*
Affiliation:
Department of Pediatric Cardiology, FORTIS-ESCORT Heart Institute, New Delhi, India
Sitaraman Radhakrishnan
Affiliation:
Department of Pediatric Cardiology, FORTIS-ESCORT Heart Institute, New Delhi, India
Krishna S. Iyer
Affiliation:
Department of Pediatric Cardiology, FORTIS-ESCORT Heart Institute, New Delhi, India
*
Correspondence to: A. Nair, Department of Pediatric Cardiology, FORTIS-ESCORT Heart Institute, 5th floor, Okhla Road, New Delhi 110025, India. Tel: +91-9818811317; E-mail: [email protected]
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Abstract

The Fontan connection, originally described in 1971, is used to provide palliation for patients with many forms of CHDs that cannot support a biventricular circulation. An increasing number of females who have undergone these connections in childhood are now surviving into adulthood and some are becoming pregnant. We report a case of a 29-year-old woman who presented with a twin pregnancy at 33 weeks of gestation. She had significant deterioration of her cardiovascular status before the twin babies were delivered by emergency caesarean section owing to associated obstetric complications. This report also highlights the various maternal and fetal complications occurring in pregnancy of Fontan-palliated patients and suggests the need for meticulous pre-conception counselling and strict perinatal care.

Keywords

Twin pregnancyFontan palliationsingle ventricle
Type
Brief Reports
Information
Cardiology in the Young , Volume 26 , Issue 6 , August 2016 , pp. 1221 - 1224
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Copyright
© Cambridge University Press 2016 

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