Successful one-lung ventilation in a patient with the Fontan circulation undergoing thoracotomy: a case report.

Journal of Anesthesia
Nozomi MajimaAkiko Kurosaki

Abstract

The incidence of noncardiac surgery in patients with the Fontan circulation has increased over the years due to the elongated life expectancy of these patients. In patients with the Fontan circulation, pulmonary blood flow is passive, so it is important to keep pulmonary vascular resistance low. One-lung ventilation (OLV) can have adverse effects on the Fontan circulation due to hypoxia, hypoxic pulmonary vasoconstriction, hypercarbia, and increased airway pressure. We present a case of successful OLV in a patient with the Fontan circulation and describe our perioperative management.

References

Apr 1, 1986·Anesthesiology·K B DominoB E Marshall
Sep 1, 1996·Journal of the American College of Cardiology·M M CanobbioB J Koos
Apr 12, 2003·Pacing and Clinical Electrophysiology : PACE·Markus K HeinemannGerhard Ziemer
Jun 12, 2004·British Journal of Anaesthesia·A T Lovell
Dec 29, 2004·Surgery Today·Naoki YoshimuraTakeshi Suzuki
Aug 24, 2005·Anesthesia and Analgesia·Andrea CasatiUNKNOWN Collaborative Italian Study Group on Anesthesia in Elderly Patients
Jan 18, 2006·Paediatric Anaesthesia·Balachundhar SubramaniamBarry D Kussman
Sep 27, 2006·Anesthesia and Analgesia·Craig D McClainPete G Kovatsis
Oct 17, 2008·Journal of Cardiothoracic and Vascular Anesthesia·Koichi YukiChristian Seefelder

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Citations

Jul 11, 2014·Seminars in Cardiothoracic and Vascular Anesthesia·Draginja CvetkovicIrfan Warsy
Feb 28, 2014·Journal of Oral and Maxillofacial Pathology : JOMFP·Rajkumar ParwaniSangeeta Wanjari
Aug 24, 2016·A & a Case Reports·Stephen H GregoryKelly A Machovec

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