Why the study?
The success of the Fontan procedure has resulted in adult patients with Fontan physiology requiring anaesthesia for cardiac and non-cardiac procedures.
Highlights the importance of multidisciplinary communication and understanding of complex cardiac anatomy for successful anaesthetic management of Fontan patients undergoing EP procedures.
Multidisciplinary planning enables safe ablation in Fontan patients; leaves open optimal strategies pending larger studies.
The success of the Fontan procedure for congenital single ventricle anatomy has resulted in adult patients with Fontan physiology requiring anaesthesia for cardiac and non-cardiac procedures. We present the perioperative management of a patient with Fontan physiology who underwent electrophysiological study with radiofrequency ablation for atrial tachycardia under general anaesthesia. Good communication between the multidisciplinary teams, a detailed understanding of the patient's complex cardiac anatomy and physiology, as well as the ability to recognise and manage perioperative complications all play a vital role for a successful outcome.
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Lim et al. (2019) studied this question.
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