Key result
Anaesthetic management and preoperative investigations were described for a 14-year-old boy with a Fontan circulation undergoing posterior spinal fusion for idiopathic scoliosis.
Case Report (n=1)
Highlights the challenging anaesthetic management required for major noncardiac surgery in adolescents with a Fontan circulation.
Individualized anesthetic planning may be feasible for Fontan patients undergoing scoliosis surgery; extends sparse case reports but leaves optimal protocols open.
Advances in the treatment of congenital heart disease have led to a new group of adolescents or adults patients with cardiac anomalies. The anaesthetic management of these patients can be challenging especially when they are scheduled for major noncardiac surgery inducing haemodynamic instability. We report the case of a 14-year-old boy scheduled for posterior spinal fusion for idiopathic scoliosis who underwent a Fontan operation in infancy for pulmonary atresia with right ventricle hypoplasia. The preoperative investigations and the anaesthetic management are described.
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Vischoff et al. (2001) conducted a case report in Idiopathic scoliosis and Fontan circulation (n=1). Anaesthetic management was evaluated. Anaesthetic management and preoperative investigations were described for a 14-year-old boy with a Fontan circulation undergoing posterior spinal fusion for idiopathic scoliosis.
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