Anesthetic Management of a Patient with Fontan Physiology for Laparoscopic Cholecystectomy

被引：0

作者：

Parajuli, Santosh Sharma ^{[1
]}

机构：

[1] Shahid Gangalal Natl Heart Ctr, Dept Anesthesiol, Kathmandu, Nepal

来源：

NEPALESE HEART JOURNAL | 2020年 / 17卷 / 02期

关键词：

Anesthetic Management; Fontan Physiology; HEMODYNAMIC-CHANGES; SURGERY;

D O I：

10.3126/njh.v17i2.32681

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

With the modification in surgical techniques and advancement in medical sciences, the survival rate of patients with complex cardiac abnormalities has increased to more than 90% in about 10 years after Fontan palliation. These patients can present with some form of non-cardiac surgeries during their lifetime. Better understanding of Fontan physiology can help in proper perioperative anesthetic management of these patients. Our cases was of a 17-year-old female patient with Fontan physiology for her Ebstein's Anomaly, planned for Laparoscopic Cholecystectomy under general anesthesia. Here we describe how we successfully managed the case perioperatively.

引用

页码：51 / 53

页数：3

共 14 条

[1] Anesthesia for Noncardiac Surgery in Adults with Congenital Heart Disease [J].

Cannesson, Maxime ;

Earing, Michael G. ;

Collange, Vincent ;

Kersten, Judy R. .

ANESTHESIOLOGY, 2009, 111 (02) :432-440

[2] Long-term results of the Fontan operation [J].

Driscoll, D. J. .

PEDIATRIC CARDIOLOGY, 2007, 28 (06) :438-442

[3] SURGICAL REPAIR OF TRICUSPID ATRESIA [J].

FONTAN, F ;

BAUDET, E .

THORAX, 1971, 26 (03) :240-+

[4] Hemodynamic changes during laparoscopic cholecystectomy in patients with severe cardiac disease [J].

Hein, HAT ;

Joshi, GP ;

Ramsay, MAE ;

Fox, LG ;

Gawey, BJ ;

Hellman, CL ;

Arnold, JC .

JOURNAL OF CLINICAL ANESTHESIA, 1997, 9 (04) :261-265

[5]

JORIS JL, 1993, ANESTH ANALG, V76, P1067

[6] Long-term survival, modes of death, and predictors of mortality in patients with Fontan surgery [J].

Khairy, Paul ;

Fernandes, Susan M. ;

Mayer, John E., Jr. ;

Triedman, John K. ;

Walsh, Edward P. ;

Lock, James E. ;

Landzberg, Michael J. .

CIRCULATION, 2008, 117 (01) :85-92

[7] Laparoscopic surgery in a patient with fontan physiology [J].

McClain, Craig D. ;

McGowan, Francis X. ;

Kovatsis, Pete G. .

ANESTHESIA AND ANALGESIA, 2006, 103 (04) :856-858

[8]

McGowan FX, 2005, ANESTH ANALG, P53

[9] Protein-losing enteropathy after the fontan operation: An international multicenter study [J].

Mertens, L ;

Hagler, DJ ;

Sauer, U ;

Somerville, J ;

Gewillig, M .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1998, 115 (05) :1063-1073

[10]

Motoyama EK, 1990, SMITHS ANESTHESIA IN

← 1 2 →