[HSF] Fontan-pregnancy

[Nasser F. Abou'Seada]

 From: Krisztina Kadar <krisztinakadar at hotmail.com>
Subject: [Pediheartnet] Fontan-pregnancy


Dear Members,

A Fontan pts (Tricuspid  and Pulmonary atresia) after shunt and  classical
Fontan procedure now is 23 yrs old in a good condition.The  operation was
performed 16 yrs ago.She  had  a thrombotic event 3 yrs after Fontan  with
pulmonary microembolism.(thrombolitic therapy)She is out my controll, but
she  has a good follow-up  in a county Hospital.She visited me to ask
what  my opinion is about her pregnancy because she would like a child very
much.She is in a good condition, without complain, Tr Po2 96%, and she is on
Syncumar therapy.I recommended a pulmonary scan which was normal.What is
your experience with Fontan  people to became pregnant and to have a child.I
told her it shoud be a dangereous situation, but a I would like to get more
information about the prognosis if this situation.

Thanks a lot.
Prof.Krisztina Kadar
consultant pediatric cardiologist
Gotsegen Hungarian Institute of Cardiology
Budapest, Hungary

An interesting question ...on Pediheartnet ...
I thought of putting for the HSFers for a "wider" answer ...
Dr. Novick ??

NFA