Pulmonary Embolism After Vaginal Delivery in a Fontan Patient

Laura A Keenahan; Revanth K Poondla; Wayne J Franklin; Peter R Ermis; Pamela Ketwaroo; Angeline Opina; Manisha Gandhi

doi:10.1016/j.jaccas.2020.04.051

Pulmonary Embolism After Vaginal Delivery in a Fontan Patient

JACC Case Rep. 2020 Jul 8;2(11):1713-1715. doi: 10.1016/j.jaccas.2020.04.051. eCollection 2020 Sep.

Authors

Laura A Keenahan¹, Revanth K Poondla¹, Wayne J Franklin², Peter R Ermis^{1

3}, Pamela Ketwaroo^{1

4}, Angeline Opina^{1

3}, Manisha Gandhi^{1

5}

Affiliations

¹ Baylor College of Medicine, Houston, Texas.
² Department of Cardiology, Phoenix Children's Hospital, Phoenix, Arizona.
³ Adult Congenital Heart Disease Program, Texas Children's Hospital Houston, Texas.
⁴ Department of Radiology, Texas Children's Hospital, Houston, Texas.
⁵ Department of Obstetrics and Gynecology, Texas Children's Pavilion for Women, Houston, Texas.

Abstract

The Fontan procedure was created to address the mixing of pulmonary and systemic venous return in patients with a single functional ventricle. The patient in this case with a Fontan repair experienced multiple pulmonary emboli 10 days post-partum. We outline management and recommendations when treating these patients. (Level of Difficulty: Beginner.).

Keywords: VE, venous thromboembolism; congenital heart defect; pregnancy; thrombus.

Publication types

Case Reports