title: Increased blood loss during posterior spinal fusion for idiopathic scoliosis in an adolescent with Fontan physiology.
abstract: A 15-year-old patient with Fontan physiology experienced major blood loss during posterior spinal fusion for idiopathic scoliosis. Contributing factors for the increased blood loss and potentially useful measures to limit blood loss in patients with Fontan physiology are discussed.
authors.affiliation: Department of Anesthesiology, The Children's Hospital of Oklahoma, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
authors.forename: Muhammad B
authors.initials: MB
authors.lastname: Rafique
authors.forename: Eckehard A E
authors.initials: EA
authors.lastname: Stuth
authors.forename: J Channing
authors.initials: JC
authors.lastname: Tassone
mesh_terms: D000293:Adolescent; D016063:Blood Loss, Surgical; D001803:Blood Transfusion / Q000379:methods; D018729:Fontan Procedure / Q000379:methods; D006330:Heart Defects, Congenital / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D016684:Prone Position / Q000502:physiology; D012600:Scoliosis / Q000150:complications / Q000601:surgery*; D013123:Spinal Fusion / Q000009:adverse effects* / Q000379:methods; D016683:Supine Position / Q000502:physiology