Twin pregnancy complicated by total placenta previa in a Fontan-palliated patient: A case report.
Case Rep Womens Health
; 20: e00085, 2018 Oct.
Article
em En
| MEDLINE
| ID: mdl-30416977
ABSTRACT
We present a case of a twin pregnancy in a Fontan-palliated woman that was complicated by total placenta previa. The patient was diagnosed with tricuspid atresia type II, and underwent the Fontan operation at 11â¯years of age. At 32â¯years of age, she was shown to have a dichorionic diamniotic twin pregnancy. A placenta previa was also noted. At 26â¯weeks' gestation, she had difficulty breathing, cardiomegaly, and worsening mitral regurgitation. At 29â¯weeks' gestation, an emergency cesarean section was performed, as the patient had massive genital bleeding. A postoperative cardiac catheterization demonstrated a leak from the lateral tunnel to the atrium, which was considered a cause of hypoxemia during the peripartum period. The cardiac workload in a twin pregnancy is greater, which places a Fontan-palliated patient at increased risk. Careful follow-up monitoring with multidisciplinary expertise is recommended.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article