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Review
. 2011 Dec;9(12):1547-56.
doi: 10.1586/erc.11.158.

Pregnancy in women with Fontan physiology

Laurianne Le Gloan  1 , Lise-Andrée Mercier, Annie Dore, François Marcotte, François-Pierre Mongeon, Réda Ibrahim, Anita Asgar, Nancy Poirier, Paul Khairy
Affiliations
Review

Pregnancy in women with Fontan physiology

Laurianne Le Gloan et al. Expert Rev Cardiovasc Ther. 2011 Dec.

Abstract

Advances in the care of patients with a univentricular heart have enabled the majority to survive well into adulthood. Consequently, an increasing number of women with Fontan palliation are contemplating pregnancy. This review summarizes physiologic modifications related to pregnancy in the setting of single-ventricle physiology, discusses potential maternal cardiovascular concerns and describes commonly encountered obstetrical and neonatal complications. Management issues are addressed, including counseling, anesthetic considerations and the need for multidisciplinary specialized care.

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