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Anaesthetic management of an adolescent for scoliosis surgery with a Fontan circulation
Author(s) -
Vischoff Daniel,
Fortier LouisPhilippe,
Villeneuve Edith,
Boutin Christine,
Labelle Hubert
Publication year - 2001
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1046/j.1460-9592.2001.00715.x
Subject(s) - medicine , scoliosis , fontan procedure , heart disease , pulmonary atresia , surgery , corrective surgery , hypoplasia , ventricle , spinal fusion , cardiac surgery , anesthesia , cardiology
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.