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Tiouririne M, de Souza DG, Beers KT, Yemen TA. Anesthetic Management of Parturients With a Fontan Circulation. Semin Cardiothorac Vasc Anesth 2015; 19:203-9. [DOI: 10.1177/1089253214566887] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Parturients with Fontan physiology provide unique and complex challenges to anesthesiologists. Such challenges include the maintenance of a perfect balance between preload, pulmonary vascular resistance, afterload, and cardiac output in a setting of a single ventricle physiology. The physiological changes of pregnancy add additional burden to an already “fragile” physiology, making the anesthetic management for labor and/or cesarean delivery even more complex. Understanding the impact of these changes on the Fontan physiology and the effect of anesthetic choices on this dyad (pregnancy–Fontan) is an imperative prior to caring for these patients. In an effort to determine how these patients are best managed for labor and/or cesarean delivery, we have reviewed the literature examining the peripartum anesthetic management of parturients with Fontan circulation and have identified 27 case reports.
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Ture P, Shaikh S, Hungund S, Roopa S. Anaesthetic management of a rare case of single ventricle heterotaxy syndrome for emergency caesarean section. Indian J Anaesth 2015; 59:439-41. [PMID: 26257419 PMCID: PMC4523967 DOI: 10.4103/0019-5049.160956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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