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A Parturient With Fontan Physiology and Suspected Placenta Accreta Spectrum: A Case Report
Taizoon Q Dhoon1, Benjamin Rosellini2, Michael Holland3
1Anesthesiology, University of California, Irvine (UCI) Health, Orange, USA.
Cureus
|November 14, 2025
Summary
Managing pregnancy in women with Fontan physiology is complex. This case details a gravida 3, para 2 patient with suspected placenta accreta spectrum versus massive subchorionic thrombohematoma, facing placental abruption at 32 weeks gestation.
Area of Science:
- Obstetrics and Gynecology
- Cardiology
- Maternal-Fetal Medicine
Background:
- Pregnancy in women with Fontan physiology presents unique challenges.
- Single ventricle physiology requires specialized management during gestation.
- Placenta accreta spectrum and thrombohematoma are critical obstetric complications.

