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Chapter 69 - The Fontan Patient

Published online by Cambridge University Press:  30 November 2019

By
Premal M. Trivedi
Edited by
Adam C. Adler ,
Arvind Chandrakantan  and
Ronald S. Litman
Adam C. Adler
Affiliation:
Texas Children's Hospital
Arvind Chandrakantan
Affiliation:
Texas Children's Hospital
Ronald S. Litman
Affiliation:
The Children's Hospital of Philadelphia
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Summary

This chapter provides a review of the patient with Fontan circulation. The author discusses the indication, type and timing of the Fontan operation. The evaluation for long term sequala following the Fontan operation as well as the failing Fontan are discussed in reference to the anesthetic implications.

Keywords

Fontan physiologyfailing Fontancavo-pulmonary anastomosisProtein losing enteropathyPlastic bronchitis
Type
Chapter
Information
Case Studies in Pediatric Anesthesia , pp. 315 - 319
Publisher: Cambridge University Press
Print publication year: 2019

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References

Suggested Reading

Goldberg, DJ, Shaddy, RE, Ravishankar, C, et al. The failing Fontan: etiology, diagnosis and management. Expert Rev Cardiovasc Ther. 2011;9(6):785–93. PMID: 21714609.CrossRefGoogle ScholarPubMed
Gottlieb, EA, Andropoulos, DB. Anesthesia for the patient with congenital heart disease presenting for noncardiac surgery. Current Opinion in Anesthesiology. 2013;26(3):318–26. PMID: 23614956.CrossRefGoogle ScholarPubMed
John, AS. Fontan repair of single ventricle physiology: consequences of a unique physiology and possible treatment options. Cardiol Clin. 2015;33(4):559–69. PMID: 26471820.CrossRefGoogle ScholarPubMed
Jolley, M, Colan, SD, Rhodes, J, et al. Fontan physiology revisited. Anesth Analg. 2015;121(1):172–82. PMID: 26086514.CrossRefGoogle ScholarPubMed
Mossad, EB, Motta, P, Vener, DF. Anesthetic considerations for adults undergoing Fontan conversion surgery. Anesthesiology Clin. 2013;31:405–19. PMID: 23711650.CrossRefGoogle ScholarPubMed

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