Pregnancy and delivery in women after Fontan palliation.

ABSTRACT:

Objectives

To evaluate the outcome of pregnancy in women after Fontan palliation and to assess the occurrence of infertility and menstrual cycle disorders.

Design and patients

Two congenital heart disease registries were used to investigate 38 female patients who had undergone Fontan palliation (aged 18-45 years): atriopulmonary anastomosis (n = 23), atrioventricular connection (n = 5) and total cavopulmonary connection (n = 10).

Results

Six women had 10 pregnancies, including five miscarriages (50%) and one aborted ectopic pregnancy. During the remaining four live-birth pregnancies clinically significant complications were encountered: New York Heart Association class deterioration; atrial fibrillation; gestational hypertension; premature rupture of membranes; premat

SUBMITTER: Drenthen W 

PROVIDER: S-EPMC1861147 | biostudies-literature | 2006 Sep

REPOSITORIES: biostudies-literature