title: Pregnancy in women with Fontan physiology.
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.
authors: Adult Congenital Heart Center, Montreal Heart Institute, 5000 Belanger St E, Montreal, QC, H1T 1C8, Canada.
authors: Laurianne
authors: L
authors: Le Gloan
authors: Lise-Andrée
authors: LA
authors: Mercier
authors: Annie
authors: A
authors: Dore
authors: François
authors: F
authors: Marcotte
authors: François-Pierre
authors: FP
authors: Mongeon
authors: Réda
authors: R
authors: Ibrahim
authors: Anita
authors: A
authors: Asgar
authors: Nancy
authors: N
authors: Poirier
authors: Paul
authors: P
authors: Khairy
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D018729:Fontan Procedure / Q000009:adverse effects; D006330:Heart Defects, Congenital / Q000503:physiopathology / Q000601:surgery* / Q000628:therapy; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000503:physiopathology / Q000601:surgery* / Q000628:therapy; D018566:Pregnancy, High-Risk; D055815:Young Adult