Open AccessAnesthetic Management of a Patient with Fontan Physiology for Laparoscopic Cholecystectomy
Author(s) -
Santosh Sharma Parajuli
Publication year - 2020
Publication title -
nepalese heart journal/nepalese heart journal
Language(s) - English
Resource type - Journals
eISSN - 2382-5464
pISSN - 2091-2978
DOI - 10.3126/njh.v17i2.32681
Subject(s) - medicine , laparoscopic cholecystectomy , perioperative , anesthetic , fontan procedure , anesthesia , surgery , general surgery , cardiology , heart disease
With the modification in surgical techniques and advancement in medical sciences, the survival rate of patients with complex cardiac abnormalities has increased to more than 90% in about 10 years after Fontan palliation. These patients can present with some form of non-cardiac surgeries during their lifetime. Better understanding of Fontan physiology can help in proper perioperative anesthetic management of these patients. Our cases was of a 17-year-old female patient with Fontan physiology for her Ebstein's Anomaly, planned for Laparoscopic Cholecystectomy under general anesthesia. Here we describe how we successfully managed the case perioperatively.