Abstract
BackgroundFontan is a palliative procedure in patients with single ventricle. Single ventricle supports systemic cardiac output and pulmonary blood flow is passively directed to the right pulmonary artery. Women with Fontan palliation are reported to have increased maternal risk during pregnancy. There are few reports of successful pregnancies in such cases. However data on these pregnancies is lacking, we consider this to be the first reported from kingdom of Saudi Arabia.Case presentationWe present a 35-year-old woman from the Kingdom of Saudi Arabia who had Fontan surgery and who had four successful pregnancies and multiple miscarriages. She delivered live, low birth weight neonates.ConclusionThis report provides an anecdotal evidence that pregnancy can be tolerated in an adequate Fontan patient with successful outcomes.
Highlights
BackgroundFontan as a palliation for single ventricle (SV) was first described in 1971 by Fontan and Baudet [1]
Fontan is a palliative procedure in patients with single ventricle
Fontan as a palliation for single ventricle (SV) was first described in 1971 by Fontan and Baudet [1]. They highlighted the role of SV palliation in tricuspid atresia to support systemic cardiac output (CO), while allowing pulmonary blood flow (PBF) to flow passively from the right atrium to the pulmonary artery without an interposed ventricle
Summary
Fontan as a palliation for single ventricle (SV) was first described in 1971 by Fontan and Baudet [1]. Case presentation We report a 35-year-old Saudi woman with the diagnosis of transposition of the great arteries, ventricular septal defect, severe pulmonary stenosis, a sub-aortic chamber, and a rudimentary right ventricle. She had been diagnosed with these conditions at three years of age and was under regular follow-up at our center. She was prescribed subcutaneous Enoxaparin and Aspirin for six weeks after CS she was advice to continue on Aspirin 81 mg once a day, iron and multi vitamin tablets She was counseled in detail regarding contraception and avoiding further pregnancies, and to regularly have follow-up with the adult congenital heart disease team. Her 24-h Holter recording was negative for arrhythmia and the average heart rate was 80 bpm
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