Success in a Fontan pregnancy: how important is ventricular function?

Abstract

The Fontan operation is a palliative surgical procedure for patients whose hearts cannot support a biventricular circulation. The haemodynamic changes that occur in pregnancy are particularly challenging for Fontan patients and the outcomes are variable. We present a case where fetal outcome was particularly poor despite a lack of high risk features pre-pregnancy.

Keywords: Fontan circulation; cardiac output; fetal outcomes; pregnancy.