Successful One-Lung Ventilation in a Patient With the Fontan Circulation Undergoing Thoracoscopic Procedure

Authors

Draginja Cvetkovic
Wassim Ramzy
Salvatore Vitale, New York Medical CollegeFollow
Ramin Malekan, New York Medical CollegeFollow
Irfan Warsy, New York Medical CollegeFollow

Author Type(s)

Faculty

DOI

10.1177/1089253214542252

Journal Title

Seminars in Cardiothoracic and Vascular Anesthesia

First Page

379

Last Page

381

Document Type

Article

Publication Date

12-1-2014

Department

Medicine

Keywords

Adult, Anesthesia, Anesthetics, Cardiac Output, Fontan Procedure, Humans, Male, One-Lung Ventilation, Perioperative Care, Thoracoscopy, Vascular Resistance

Disciplines

Medicine and Health Sciences

Abstract

Over the course of the past 4 decades, the survival of patients with the Fontan circulation has improved and today they often present for noncardiac surgery anesthesia care. In patients with the Fontan circulation, pulmonary blood flow is passive and anesthetic management is directed at reducing pulmonary vascular resistance and maintaining adequate cardiac output. One-lung ventilation can have unfavorable effects on the Fontan circulation due to hypoxia, hypercarbia, and increased airway pressure. We present a case of successful one-lung ventilation in a patient with the Fontan circulation and describe the perioperative anesthetic management.

Recommended Citation

Cvetkovic, D., Ramzy, W., Vitale, S., Malekan, R., & Warsy, I. (2014). Successful One-Lung Ventilation in a Patient With the Fontan Circulation Undergoing Thoracoscopic Procedure. Seminars in Cardiothoracic and Vascular Anesthesia, 18 (4), 379-381. https://doi.org/10.1177/1089253214542252