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      Pulmonary Embolism After Vaginal Delivery in a Fontan Patient

      case-report

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          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.)

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          Abstract

          The Fontan procedure was created to address the mixing of pulmonary and systemic venous return in patients with a single functional ventricle. The pati…

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          ESC Guidelines on the management of cardiovascular diseases during pregnancy: the Task Force on the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC).

          Vera Regitz-Zagrosek, Carina Blomström Lundqvist, Claudio Borghi … (2011)
          Article 0 comments Cited 138 times – based on 0 reviews     Review now
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            Prevention and treatment of thrombosis in pediatric and congenital heart disease: a scientific statement from the American Heart Association.

            Therese M Giglia, M. Massicotte, James S Tweddell … (2013)
            Article 0 comments Cited 54 times – based on 0 reviews     Review now
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              The Fontan circulation: a challenge to William Harvey?

              Roberto Guzman (2005)
              The Fontan operation, which places the systemic and pulmonary circulations in series and is driven by a single ventricular chamber, is the treatment of choice for patients born with one ventricle. Its introduction 35 years ago was the result of a flurry of experimental and clinical research that had started in the 1940s. A large number of children have benefited and continue to benefit from the Fontan operation, but there is a genuine concern that, despite the refinement of the surgical procedures in the past 20 years, continuing attrition might be inevitable. This adverse effect can lead to a decline in functional capacity, and premature late death.
              Article 0 comments Cited 24 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Manisha Gandhi
                Journal
                Journal ID (nlm-ta): JACC Case Rep
                Journal ID (iso-abbrev): JACC Case Rep
                Title: JACC Case Reports
                Publisher: Elsevier
                ISSN (Electronic): 2666-0849
                Publication date PMC-release: 08 July 2020
                Publication date Collection: September 2020
                Publication date (Electronic): 08 July 2020
                Volume: 2
                Issue: 11
                Pages: 1713-1715
                Affiliations
                [a ]Baylor College of Medicine, Houston, Texas
                [b ]Department of Cardiology, Phoenix Children’s Hospital, Phoenix, Arizona
                [c ]Adult Congenital Heart Disease Program, Texas Children’s Hospital Houston, Texas
                [d ]Department of Radiology, Texas Children’s Hospital, Houston, Texas
                [e ]Department of Obstetrics and Gynecology, Texas Children’s Pavilion for Women, Houston, Texas
                Author notes
                [∗ ] Address for correspondence: Dr. Manisha Gandhi, Baylor College of Medicine, 6651 Main Street, Suite 1096, Houston, Texas 77098. manishag@ 123456bcm.edu
                Article
                Publisher Item ID: S2666-0849(20)30582-9
                DOI: 10.1016/j.jaccas.2020.04.051
                PMC ID: 8311981
                PubMed ID: 34317041
                SO-VID: 9a2a7eeb-8804-4541-828b-b7ab6a18d029
                Copyright © © 2020 The Authors
                License:

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                Date received : 4 March 2020
                Date accepted : 15 April 2020
                Categories
                Subject: Mini-Focus Issue: Congenital Heart Disease
                Subject: Case Report: Clinical Case

                Keywords: congenital heart defect,pregnancy,thrombus,ve, venous thromboembolism
                Data availability:
                Keywords: congenital heart defect, pregnancy, thrombus, ve, venous thromboembolism

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