title: [Patient with a Fontan circulation undergoing caesarean section: Anesthesiological management].
abstract: Adults suffering from congenital heart diseases (CHD) represent a challenge to anesthesiologists because of the diverse pathologies, complex pathophysiology and special treatment strategies. Due to improved therapeutic options for CHD, patient quality of life and life expectancy is increasing, leaving them as a growing population including pregnant patients with CHD. This article presents the main principles of the pathophysiology and anesthesiological management of pregnant patients living with a Fontan circulation based on a case report, which was complicated by an aortic coarctation and atonic uterine hemorrhage.
authors.affiliation: Klinik für Anästhesiologie und operative Intensivmedizin, Universitätsklinikum Gießen und Marburg, Standort Gießen, Sektion Kinderherzzentrum, Rudolf-Buchheim-Str. 7, 35392, Gießen, Deutschland, emmanuel.schneck@chiru.med.uni-giessen.de.
authors.forename: E
authors.initials: E
authors.lastname: Schneck
authors.forename: V
authors.initials: V
authors.lastname: Mann
authors.forename: C
authors.initials: C
authors.lastname: Körner
authors.forename: A
authors.initials: A
authors.lastname: Jost
authors.forename: J
authors.initials: J
authors.lastname: Thul
authors.forename: J B
authors.initials: JB
authors.lastname: Engel
authors.forename: M F
authors.initials: MF
authors.lastname: Müller
mesh_terms: D000328:Adult; D000773:Anesthesia, Obstetrical; D000777:Anesthetics; D001017:Aortic Coarctation / Q000150:complications; D002585:Cesarean Section / Q000379:methods*; D003422:Critical Care; D005260:Female; D018729:Fontan Procedure; D006330:Heart Defects, Congenital / Q000150:complications* / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000628:therapy; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000628:therapy; D014592:Uterine Hemorrhage / Q000628:therapy
chemical_list: D000777:Anesthetics