Lao T T, Sermer M, Colman J M
Special Pregnancy Unit, Toronto Hospital, University of Toronto, Ontario, Canada.
J Reprod Med. 1995 Jan;40(1):77-9.
A patient who had undergone Pott's procedure and a right Blalock-Taussig shunt in childhood for complex cyanotic congenital heart disease with a single ventricle presented with a planned pregnancy at age 22. Although asymptomatic prior to pregnancy, she experienced functional deterioration from the first trimester and had preterm labor with a footling breech presentation at 29 weeks following prelabor rupture of the membranes. A normal, 900-g female infant was delivered by cesarean section. Despite delivery the patient continued to experience progressive functional deterioration and returned to her prepregnancy cardiac status only after a Fontan operation, performed 14 months postpartum.
一名患有复杂紫绀型先天性心脏病且仅有一个心室的患者，童年时接受了波特手术和右侧布莱洛克 - 陶西格分流术。该患者22岁时计划怀孕。尽管怀孕前无症状，但她从孕早期开始出现功能恶化，在胎膜早破后29周发生早产，臀位足先露。通过剖宫产分娩出一名体重900克的正常女婴。尽管已分娩，但患者功能仍持续进行性恶化，产后14个月进行了方坦手术，之后才恢复到怀孕前的心脏状态。
