Eid L, Ginosar Y, Elchalal U, Pollak A, Weiniger C F
Resident, Department of Anaesthesiology and Critical Care, Hadassah Hebrew University Medical Center, POB 12000, Jerusalem, Israel.
Anaesthesia. 2005 Nov;60(11):1137-40. doi: 10.1111/j.1365-2044.2005.04334.x.
The Fontan procedure is performed for patients with a hypoplastic right ventricle, and pregnancies following this palliative surgery are likely to increase. We present a parturient with the Fontan physiology who successfully underwent two consecutive caesarean deliveries; the first under general anaesthesia for emergency surgery and the second under regional anaesthesia for elective surgery. We suggest that pregnancy and delivery do not typically adversely affect maternal cardiac status in these patients. Attention must be paid, however, to fetal loss, prematurity, growth retardation and associated cardiac congenital malformations for which insufficient data exist in the literature in this patient population.
Fontan手术是针对右心室发育不全的患者进行的，这种姑息性手术后的妊娠可能会增加。我们报告了一位具有Fontan生理状态的产妇，她成功地连续进行了两次剖宫产；第一次在全身麻醉下进行急诊手术，第二次在区域麻醉下进行择期手术。我们认为，妊娠和分娩通常不会对这些患者的母体心脏状况产生不利影响。然而，必须注意胎儿丢失、早产、生长发育迟缓以及相关的心脏先天性畸形，关于这一患者群体的这些情况，文献中的数据不足。
