Features of the pregnancy and childbirth in patients with functional single ventricle after Fontan operation

Authors: Astafyeva T.A., Kovalev D.V., Astrakhantseva T.O., Podzolkov V.P.

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

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Type:  Reviews

DOI: https://doi.org/10.24022/ 1997-3187-2023-17-1-65-76

For citation: Astafyeva T.A., Kovalev D.V., Astrakhantseva T.O., Podzolkov V.P. Features of the pregnancy and childbirth in patients with functional single ventricle after Fontan operation. Creative Cardiology. 2023; 17 (1): 65–76 (in Russ.). DOI: 10.24022/1997-3187-2023-17-1-65-76

Received / Accepted:  25.08.2022 / 29.03.2023

Keywords: partial or complete bypass of the right heart functionally single ventricle of heart pregnancy after Fontan procedure

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Fontan procedure increases the life duration in patients with single ventricle circulation. The number of women who have reached child bearing age after Fontan procedure is steadily increasing. Specialists face the problem of possibility and safety of this group of patients to get pregnant and give birth to a child. The presented review highlights issues related to pregnancy and childbirth in women who previously underwent partial or complete bypass of the right heart.This problem has a critical scientific and practical value, but remains one of the most poorly studied and discussed in the medical society, since the pregnancy in this category of patients is associated with high-risk, both for mother and fetus. There is still no common approach to its management.


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About Authors

  • Tatyana A. Astafyeva, Cardiologist; ORCID
  • Dmitriy V. Kovalev, Dr. Med. Sci., Leading Researcher; ORCID
  • Tatyana O. Astrakhantseva, Dr. Med. Sci., Chief Researcher; ORCID
  • Vladimir P. Podzolkov, Dr. Med. Sci., Professor, Academician of RAS, Head of Department; ORCID

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery