Obstetric anaesthetic management in a patient with the Fontan circulation.
We describe the pregnancy and obstetric anaesthetic management of a patient with congenital tricuspid atresia who had undergone the Fontan procedure in childhood. The unique arrangement of the Fontan circulation combined with the haemodynamic alterations during pregnancy presents special anaesthetic considerations for both analgesia during labour and anaesthesia for Caesarean section.
Cohen
A M
AM
Department of Anaesthesia, Southmead Hospital, Bristol.
Mulvein
J
J
D000328:Adult; D000714:Anastomosis, Surgical; D000765:Anesthesia, Conduction; D000773:Anesthesia, Obstetrical / Q000379:methods*; D003326:Coronary Circulation; D005260:Female; D006325:Heart Atria / Q000601:surgery*; D006801:Humans; D007752:Obstetric Labor, Premature; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000503:physiopathology*; D011651:Pulmonary Artery / Q000601:surgery*; D014261:Tricuspid Valve / Q000002:abnormalities*