title: Twin pregnancy in a Fontan-palliated patient.
abstract: The Fontan connection, originally described in 1971, is used to provide palliation for patients with many forms of CHDs that cannot support a biventricular circulation. An increasing number of females who have undergone these connections in childhood are now surviving into adulthood and some are becoming pregnant. We report a case of a 29-year-old woman who presented with a twin pregnancy at 33 weeks of gestation. She had significant deterioration of her cardiovascular status before the twin babies were delivered by emergency caesarean section owing to associated obstetric complications. This report also highlights the various maternal and fetal complications occurring in pregnancy of Fontan-palliated patients and suggests the need for meticulous pre-conception counselling and strict perinatal care.
authors.affiliation: Department of Pediatric Cardiology,FORTIS-ESCORT Heart Institute,New Delhi,India.
authors.forename: Anupama
authors.initials: A
authors.lastname: Nair
authors.affiliation: Department of Pediatric Cardiology,FORTIS-ESCORT Heart Institute,New Delhi,India.
authors.forename: Sitaraman
authors.initials: S
authors.lastname: Radhakrishnan
authors.affiliation: Department of Pediatric Cardiology,FORTIS-ESCORT Heart Institute,New Delhi,India.
authors.forename: Krishna S
authors.initials: KS
authors.lastname: Iyer
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D018729:Fontan Procedure / Q000009:adverse effects*; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome; D059285:Pregnancy, Twin
keywords: Fontan palliation; Twin pregnancy; single ventricle