患有Fontan循环的女性怀孕：综述
Pregnancy in a woman with a Fontan circulation: A review.
作者信息
Moroney Emily, Posma Elske, Dennis Alicia, d'Udekem Yves, Cordina Rachael, Zentner Dominica
机构信息
Murdoch Children's Research Institute, Melbourne, Australia.
Department of Paediatrics, The University of Melbourne, Melbourne, Australia.
出版信息
Obstet Med. 2018 Mar;11(1):6-11. doi: 10.1177/1753495X17737680. Epub 2017 Nov 22.
Abstract
More women with congenital heart disease survive to childbearing ages, due to improvements in surgical practice and postoperative care. This review discusses pregnancy in women with a single ventricle, describing maternal obstetric and cardiovascular complications and the increased risks of prematurity and adverse neonatal outcomes. Recommendations are made based on current understanding, guidelines and published literature, with recognition that there is much knowledge yet to be gained.
摘要
由于外科手术和术后护理的改善，越来越多患有先天性心脏病的女性存活至育龄期。本综述讨论了单心室女性的妊娠情况，描述了孕产妇的产科和心血管并发症以及早产和不良新生儿结局的风险增加。基于目前的认识、指南和已发表的文献提出了建议，同时认识到仍有许多知识有待获取。
相似文献
1
Pregnancy in a woman with a Fontan circulation: A review.患有Fontan循环的女性怀孕：综述
Obstet Med. 2018 Mar;11(1):6-11. doi: 10.1177/1753495X17737680. Epub 2017 Nov 22.
2
Pregnancy in Women With a Fontan Circulation: A Systematic Review of the Literature.接受Fontan循环手术女性的妊娠：文献系统综述
Circ Cardiovasc Qual Outcomes. 2018 May;11(5):e004575. doi: 10.1161/CIRCOUTCOMES.117.004575.
3
Maternal and fetal outcomes of pregnancy with Fontan circulation: A multicentric observational study.Fontan循环妊娠的母婴结局：一项多中心观察性研究。
Int J Cardiol. 2015;187:84-9. doi: 10.1016/j.ijcard.2015.03.344. Epub 2015 Mar 23.
4
Anaesthetic management of parturients with univentricular congenital heart disease and the Fontan operation.单心室先天性心脏病及Fontan手术产妇的麻醉管理
Int J Obstet Anesth. 2016 Dec;28:83-91. doi: 10.1016/j.ijoa.2016.08.004. Epub 2016 Sep 7.
5
Retrospective UK multicentre study of the pregnancy outcomes of women with a Fontan repair.英国回顾性多中心研究：法洛四联症根治术后女性的妊娠结局。
Heart. 2018 Mar;104(5):401-406. doi: 10.1136/heartjnl-2017-311763. Epub 2017 Sep 27.
6
Adult patients with Fontan circulation: What we know and how to manage adults with Fontan circulation?患有Fontan循环的成年患者：我们所了解的情况以及如何管理患有Fontan循环的成年人？
J Cardiol. 2016 Sep;68(3):181-9. doi: 10.1016/j.jjcc.2016.04.001. Epub 2016 Apr 29.
7
Pregnancy and delivery in patients with fontan circulation: a case report and review of obstetric management.Fontan循环患者的妊娠与分娩：一例病例报告及产科管理综述
Obstet Gynecol Surv. 2009 Sep;64(9):607-14. doi: 10.1097/OGX.0b013e3181b279d6.
8
Fontan circulation and implications for future reproduction.Fontan循环及其对未来生育的影响。
Obstet Med. 2017 Sep;10(3):104-106. doi: 10.1177/1753495X16676727. Epub 2016 Nov 11.
9
Pregnancy and delivery in patients with Fontan circulation: a report of two cases.
J Obstet Gynaecol Res. 2013 Jan;39(1):378-82. doi: 10.1111/j.1447-0756.2012.01910.x. Epub 2012 Jun 4.
10
Four successful pregnancies in a patient with Fontan palliation and congenital heart disease: a case report.一名接受Fontan姑息手术的先天性心脏病患者成功妊娠四次：病例报告
J Cardiothorac Surg. 2017 Nov 28;12(1):104. doi: 10.1186/s13019-017-0678-1.
引用本文的文献
1
Endothelial dysfunction in single ventricle physiology and the Fontan circulation - What lies ahead.单心室生理与Fontan循环中的内皮功能障碍——未来发展方向
Int J Cardiol Congenit Heart Dis. 2025 Apr 28;20:100589. doi: 10.1016/j.ijcchd.2025.100589. eCollection 2025 Jun.
2
Placental Sonomorphologic Appearance and Fetomaternal Outcome in Fontan Circulation.Fontan循环中胎盘的超声形态学表现及母胎结局
J Clin Med. 2024 Sep 1;13(17):5193. doi: 10.3390/jcm13175193.
3
Anesthetic management in pregnant women with Fontan circulation: a case series.患有Fontan循环的孕妇的麻醉管理：病例系列
JA Clin Rep. 2024 Apr 18;10(1):25. doi: 10.1186/s40981-024-00706-3.
本文引用的文献
1
Imaging adult patients with Fontan circulation.对接受Fontan循环手术的成年患者进行成像检查。
Curr Opin Cardiol. 2017 Sep;32(5):521-528. doi: 10.1097/HCO.0000000000000422.
2
National In-Hospital Outcomes of Pregnancy in Women With Single Ventricle Congenital Heart Disease.单心室先天性心脏病女性患者的全国住院妊娠结局
Am J Cardiol. 2017 Apr 1;119(7):1106-1110. doi: 10.1016/j.amjcard.2016.12.015. Epub 2017 Feb 16.
3
Physiological adaptation of maternal plasma volume during pregnancy: a systematic review and meta-analysis.孕期母体血容量的生理适应性：一项系统评价与荟萃分析
Ultrasound Obstet Gynecol. 2017 Feb;49(2):177-187. doi: 10.1002/uog.17360.
4
Three decades later: The fate of the population of patients who underwent the Atriopulmonary Fontan procedure.三十年后：接受心房肺动脉Fontan手术的患者群体的命运。
Int J Cardiol. 2017 Mar 15;231:99-104. doi: 10.1016/j.ijcard.2017.01.057. Epub 2017 Jan 7.
5
Management of Pregnancy in Patients With Complex Congenital Heart Disease: A Scientific Statement for Healthcare Professionals From the American Heart Association.患有复杂先天性心脏病的孕妇管理：美国心脏协会为医疗保健专业人员提供的科学声明。
Circulation. 2017 Feb 21;135(8):e50-e87. doi: 10.1161/CIR.0000000000000458. Epub 2017 Jan 12.
6
Long-term outcomes after first-onset arrhythmia in Fontan physiology.法洛四联症术后首发心律失常的长期预后
J Thorac Cardiovasc Surg. 2016 Nov;152(5):1355-1363.e1. doi: 10.1016/j.jtcvs.2016.07.073. Epub 2016 Aug 30.
7
Maternal mortality trends in Australia.澳大利亚的孕产妇死亡率趋势
Med J Aust. 2016 Oct 17;205(8):344-346. doi: 10.5694/mja16.00906.
8
Anaesthetic management of parturients with univentricular congenital heart disease and the Fontan operation.单心室先天性心脏病及Fontan手术产妇的麻醉管理
Int J Obstet Anesth. 2016 Dec;28:83-91. doi: 10.1016/j.ijoa.2016.08.004. Epub 2016 Sep 7.
9
Late Pregnancy β Blocker Exposure and Risks of Neonatal Hypoglycemia and Bradycardia.孕晚期β受体阻滞剂暴露与新生儿低血糖和心动过缓风险
Pediatrics. 2016 Sep;138(3). doi: 10.1542/peds.2016-0731.
10
The Fontan epidemic: Population projections from the Australia and New Zealand Fontan Registry.Fontan手术流行情况：来自澳大利亚和新西兰Fontan注册中心的人口预测
Int J Cardiol. 2016 Sep 15;219:14-9. doi: 10.1016/j.ijcard.2016.05.035. Epub 2016 May 14.
Zotero 插件