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Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, The Southeast Permanente Medical Group, Atlanta, Georgia, USA.
Published: June 2023
AI Article Synopsis
* Fontan circulation is associated with heightened risks during pregnancy, such as maternal cardiovascular issues, high blood pressure, preterm birth, and fetal growth problems.
* This case series discusses the placental health and pregnancy outcomes of three individuals with Fontan circulation who delivered at a specialized medical center in the Southeastern U.S.
Article Abstract
Due to the advancements in pediatric cardiothoracic surgery and medical management, more individuals with congenital heart disease are reaching reproductive age. It is well established that individuals with Fontan circulation are at an increased risk for maternal and fetal adverse outcomes including maternal cardiovascular complications, hypertensive disorders of pregnancy, preterm birth, and fetal growth restriction. Early onset of poor placental health likely related to chronically elevated central venous pressure/low cardiac output inherited to Fontan circulation may play a role in the development of these outcomes. In this case series, we present second-trimester placental imaging findings and pregnancy outcomes of three individuals with Fontan circulation who delivered at a tertiary center in the Southeastern United States.
