title: Successful epidural anesthesia for cesarean delivery in a woman with Fontan repair.
abstract: The cohort of the adult population with congenital heart disease is steadily growing, as surgical and medical management advances; and many women with congenital heart disease are becoming pregnant and presenting to the labor and delivery suite [1]. The anesthesiologist must therefore have an understanding of the physiology of the corrected heart lesion and the impact of the physiologic changes of pregnancy [2]. A woman status post-Fontan procedure requiring cesarean delivery is presented.
authors.affiliation: Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Edward
authors.initials: E
authors.lastname: Mathney
authors.affiliation: Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address: Yaakov.beilin@Mountsinai.org.
authors.forename: Yaakov
authors.initials: Y
authors.lastname: Beilin
mesh_terms: D000767:Anesthesia, Epidural / Q000379:methods*; D000773:Anesthesia, Obstetrical / Q000379:methods; D002585:Cesarean Section / Q000379:methods*; D005260:Female; D018729:Fontan Procedure; D006330:Heart Defects, Congenital / Q000601:surgery; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000503:physiopathology; D055815:Young Adult
keywords: Cesarean delivery; Fontan; Parturient