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ID 57839
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Eto, Eriko Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences ORCID Kaken ID researchmap
Maki, Jota Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences ORCID Kaken ID researchmap
Akagi, Teiji Department of Cardiovascular Medicine Field of Functional Physiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences ORCID Kaken ID publons researchmap
Ito, Hiroshi Department of Cardiovascular Medicine Field of Functional Physiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Kaken ID
Masuyama, Hisashi Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Kaken ID publons researchmap
Abstract
Owing to new surgical procedures and medications, more women who have undergone the Fontan procedure reach childbearing ages. We report five cases of pregnancy with Fontan circulation. Case 1 had subchorionic hematoma (SCH), fetal growth restriction (FGR), and preterm labor (PTL). She delivered a 1073 g infant via cesarean section at gestation week 28 because of hemorrhagic shock. Case 2 delivered 2142 g and 2232 g infants at gestation weeks 37 and 36, respectively. She had FGR, PTL, and postpartum hemorrhage (PPH). Case 3 had SCH, PTL, and heart failure. At 36 weeks, labor was induced and she delivered a 2546 g infant by vacuum extraction with epidural analgesia. Cases 4 and 5 resulted in miscarriage. All subjects experienced obstetrical complications. This report discusses pregnant women with Fontan circulation by focusing on affected Japanese women.
Keywords
Anticoagulant
Fontan circulation
Labor analgesia
Obstetrical complications
Pregnancy
Published Date
2019-12-30
Publication Title
Journal of Cardiology Cases
Volume
volume21
Issue
issue4
Publisher
Elsevier
Start Page
161
End Page
163
ISSN
18785409
Content Type
Journal Article
language
英語
OAI-PMH Set
岡山大学
Copyright Holders
© 2019 Published by Elsevier Ltd on behalf of Japanese College of Cardiology.
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DOI
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isVersionOf https://doi.org/10.1016/j.jccase.2019.12.005
License
http://creativecommons.org/licenses/by-nc-nd/4.0/
Citation
Eto E, Maki J, Akagi T, Ito H, Masuyama H. Pregnancy with Fontan circulation: A report of case series in Japan. J Cardiol Cases. 2019;21(4):161‐163. Published 2019 Dec 30. doi:10.1016/j.jccase.2019.12.005
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OA
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Non-OpenArchive