Laparoscopic surgery in a patient with Fontan physiology.
Laparoscopic surgery represents a significant advance in surgical technique, but a number of physiologic sequelae result from positioning and insufflation. These physiologic changes may be more significant in patients with complex congenital heart disease. We present the anesthetic management of a patient with Fontan physiology who successfully underwent two separate laparoscopic procedures.
McClain
Craig D
CD
Department of Anesthesiology, Perioperative and Pain Medicine, Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts 02115, USA. craig.mcclain@tch.harvard.edu
McGowan
Francis X
FX
Kovatsis
Pete G
PG
D000293:Adolescent; D000328:Adult; D017081:Cholecystectomy, Laparoscopic; D004715:Endometriosis / Q000601:surgery; D005260:Female; D006330:Heart Defects, Congenital / Q000503:physiopathology*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*