Pregnancy in patients with the Fontan operation

Area of Science:

• Cardiology
• Reproductive Medicine
• Congenital Heart Disease

Background:

• Improved survival in Fontan circulation patients enables pregnancy consideration.
• Pregnancy in Fontan patients poses high risks for maternal and fetal health, including miscarriage and preterm delivery.

Purpose of the Study:

• To identify factors influencing successful pregnancy outcomes in women with Fontan circulation.
• To highlight the importance of specialized preconception and ongoing care for these patients.

Main Methods:

• Review of existing literature and clinical data on pregnancy in women with Fontan circulation.
• Analysis of factors associated with adverse and successful pregnancy outcomes.
• Emphasis on multidisciplinary team care and patient education.

Main Results:

• Successful pregnancy is linked to younger maternal age, normal BMI, minimal functional limitation, absence of Fontan complications, and preserved single ventricle function.
• Preconception counseling and frequent multidisciplinary reviews are crucial for improving outcomes.

Conclusions:

• Pregnancy in women with Fontan circulation requires careful management and monitoring.
• Patient empowerment through education on their cardiac condition and its implications is vital for informed decision-making regarding reproductive health and life goals.