PMID: 9434813Jan 22, 1998Paper

Anesthetic management of labor and postpartum bleeding in a patient with Fontan physiology

Israel Journal of Medical Sciences
Z GrunwaldK Doron

Abstract

We describe the obstetric anesthetic management of a patient with complex congenital heart anomaly consisting of transposed great arteries, double inlet left ventricle and subpulmonic stenosis. Successful management of a patient with Fontan physiology mandates a thorough understanding of the hemodynamic consequences of this procedure and the alterations during pregnancy. The major considerations are related to the fact that the systemic venous return reaches the pulmonary vasculature without the augmentation of a functioning ventricle.

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