Epidural anesthesia in a patient with single ventricle.
OBJECTIVE
Single ventricle is a complex congenital cardiopathy characterized by a unit ventricular chamber. Changes of the cardiovascular system in response to epidural anesthesia in these patients have yet to be clearly elucidated.


METHODS
A 26-year-old man with single ventricle underwent an orchiopexy under lumbar epidural anesthesia with intravenous sedation.


RESULTS
Orchiopexy was successfully performed and the patient was discharged from hospital 4 days later.


CONCLUSIONS
This case report emphasizes the issues of importance to anesthesiologists in regard to this cardiopathy and describes a successful technique of caring for a patient with a complex problem in an emergency situation.
del Pozo
D
D
Department of Anesthesiology, Reanimation, and Pain Therapy, Hospital Clínic i Provincial de Barcelona, Spain.
Sala-Blanch
X
X
Fita
G
G
de José María
B
B
Nalda
M A
MA
D000759:Adjuvants, Anesthesia / Q000008:administration & dosage; D000328:Adult; D000767:Anesthesia, Epidural; D000779:Anesthetics, Local / Q000008:administration & dosage; D002045:Bupivacaine / Q000008:administration & dosage; D006332:Cardiomegaly / Q000503:physiopathology; D016292:Procedural Sedation; D005283:Fentanyl / Q000008:administration & dosage; D006327:Heart Block / Q000503:physiopathology; D006352:Heart Ventricles / Q000002:abnormalities*; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage; D007275:Injections, Intravenous; D007902:Length of Stay; D008012:Lidocaine / Q000008:administration & dosage; D008297:Male; D008874:Midazolam / Q000008:administration & dosage; D013086:Spermatic Cord Torsion / Q000601:surgery*; D014188:Transposition of Great Vessels / Q000503:physiopathology
D000759:Adjuvants, Anesthesia; D000779:Anesthetics, Local; D006993:Hypnotics and Sedatives; D008012:Lidocaine; D008874:Midazolam; D005283:Fentanyl; D002045:Bupivacaine