title: Perioperative management of shock in two fontan patients with plastic bronchitis.
abstract: Plastic bronchitis is potentially a life-threatening complication of long-standing surgically palliated single ventricle congenital heart disease. Patients can present with hypoxia requiring urgent bronchoscopy for removal of bronchial casts. Perioperative care for these patients is challenging and anesthesia is associated with significant cardiac risk. As more surgically corrected single ventricle patients survive to adulthood, these patients are expected to present more frequently. This report details the perioperative management of 2 Fontan patients with hypoxia and significant plastic bronchitis disease burden.
authors: Children's Hospital Colorado and University of Colorado, Denver, Aurora, CO, USA.
authors: Niel Raj
authors: NR
authors: Singhal
authors: Eduardo M
authors: EM
authors: Da Cruz
authors: Jeremy
authors: J
authors: Nicolarsen
authors: Lawrence Israel
authors: LI
authors: Schwartz
authors: Glenn Richard
authors: GR
authors: Merritt
authors: Cindy
authors: C
authors: Barrett
authors: Mark David
authors: MD
authors: Twite
authors: Richard John
authors: RJ
authors: Ing
mesh_terms: D000758:Anesthesia / Q000379:methods; D001991:Bronchitis / Q000601:surgery*; D002648:Child; D005260:Female; D018729:Fontan Procedure / Q000009:adverse effects*; D006330:Heart Defects, Congenital / Q000150:complications*; D006352:Heart Ventricles / Q000002:abnormalities*; D006801:Humans; D008297:Male; D019990:Perioperative Care; D012769:Shock / Q000628:therapy*