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All Journal Journal Of Widya Medika Junior
Ellenora R Mustikaningrat
Obstetric and Gynecology Department, Ruteng General Hospital, Manggarai
Medicine & Pharmacology Public Health

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FONTAN CIRCULATION AND PREGNANCY: IS IT POSSIBLE Dorothea Kusumaningrat; Ellenora R Mustikaningrat; Gerardo AK Laksono; Paul L Tahalele
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 5, No 4 (2023): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v5i4.5089

Abstract

More than 85% of congenital heart disease in children survive to adulthood according to recent advances in pediatric cardiology and heart surgery practice. Fifty percent of  this population is made up of women, most of whom have reached child bearing age. In this group of patients, pregnancy represents a new challenge, whose natural history has been modified by surgery. In Fontan circulation,  the ventricle unable to compensate for the major restriction in the bottleneck and non physiological suction have to pull blood through the lungs, although the ventricles provide the driving force for the circuit.  Women with an adequate Fontan circulation can become pregnant without clinically significant long term sequele.  Pre-marital and pre-pregnancy consultation is important. A close collaboration between cardiologist, obstetrician and anaesthesiologist is mandatory in order to get the best outcome of pregnancy.
Co-Authors Dorothea Kusumaningrat Gerardo AK Laksono Paul L Tahalele