妊娠与不同形式的Fontan循环
Pregnancy and the various forms of the Fontan circulation.
作者信息
Walker Fiona
出版信息
Heart. 2007 Feb;93(2):152-4. doi: 10.1136/hrt.2006.091082. Epub 2006 Oct 11.
Abstract
The Fontan operation is performed on those with highly complex congenital heart disease and has improved the survival and quality of life of such patients. Inevitably there are late complications secondary to extensive surgery and long-term survival estimates are about 70% at 10 years and 60-63% at 15 years. Pregnancy therefore requires careful prior consideration. However, the opinion that that pregnancy is not advisable for the Fontan patient is somewhat contentious and maybe an oversimplification of what is a highly emotive and complex issue.
摘要
Fontan手术适用于患有高度复杂先天性心脏病的患者，提高了这类患者的生存率和生活质量。不可避免地，广泛手术会引发晚期并发症，10年的长期生存估计约为70%，15年为60 - 63%。因此，怀孕需要事先仔细考虑。然而，认为Fontan患者不宜怀孕的观点存在一定争议，这可能是对这个极具情感性和复杂性问题的过度简化。
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