Urgent cesarean delivery and prolonged ventilatory support in a parturient with Fontan circulation and undiagnosed pseudocholinesterase deficiency

Hoffman, S.L.; Crochetière, Chantal; Lesage, Sandra

doi:10.1016/j.ijoa.2012.02.011

Cited by 1 publication

(1 citation statement)

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“…12 Over the past 10-15 years, numerous case reports and small case series have emerged documenting successful, although not uncomplicated, pregnancies in this population. 5,[13][14][15][16][17][18][19][20][21][22] Although is it is difficult to draw conclusions about absolute rates of complications, given the publication bias that is inherent in these types of reports, they are notable for a high rate of obstetrical complications, especially preterm labour. 19 They also highlight the potential risk of long-term decline in single ventricular function following pregnancy.…”

Section: Fontan Physiologymentioning

confidence: 99%

Pregnancy in complex CHD: focus on patients with Fontan circulation and patients with a systemic right ventricle

Khan

Kim

2015

Cardiol Young

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The majority of children with congenital heart disease (CHD) now survive into adulthood, and many women with CHD want to pursue pregnancy. Pregnancy represents a complex issue for the CHD care provider. It requires balancing the interests of the woman against the risk to her health during pregnancy, while also factoring in the long-term risks to her health and the risk to her fetus. Our knowledge about this subject has been historically limited by lack of data regarding the outcome of pregnancy in CHD; however, in recent years, more data have begun to emerge. In this review, we will summarise what is known about risk assessment in pregnant CHD patients. We provide a framework for healthcare providers managing pregnancy in this population, with focus on the systemic right ventricle and the Fontan operation.

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