• A & A case reports · Sep 2017

    Case Reports

    Inferior Vena Cava Thrombus in a Postpartum Patient With Fontan Physiology: A Case Report.

    • Jessica A Tashjian, Hannah Fraint, James DiNardo, and Kathryn Rouine-Rapp.
    • From the *Department of Anesthesia and Perioperative Care, and †Division of Pediatric Cardiology, University of California, San Francisco, California; and ‡Department of Anesthesiology, Perioperative & Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.
    • A A Case Rep. 2017 Sep 1; 9 (5): 136-139.

    AbstractWomen with complex congenital heart disease, such as those with single-ventricle physiology, are surviving into adulthood and becoming pregnant. Because of their complex physiology, common peripartum complications pose unique risks. We describe a patient with a single ventricle who underwent an external vascular conduit, nonfenestrated Fontan procedure in childhood and then presented during the postpartum period with extensive thrombosis in her lower extremity deep venous system and inferior vena cava. In this article, we will discuss single-ventricle physiology and the implications of pregnancy, anesthetic considerations, and data for maternal and fetal outcomes in this population.

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