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

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.

journal_name

J Anesth

journal_title

Journal of anesthesia

authors

Majima N,Kagawa T,Suzuki T,Kurosaki A

doi

10.1007/s00540-012-1333-6

subject

Has Abstract

pub_date

2012-06-01 00:00:00

pages

453-5

issue

3

eissn

0913-8668

issn

1438-8359

journal_volume

26

pub_type

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