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Laparoscopic surgery in a patient with Fontan physiology
Craig D McClain1, Francis X McGowan, Pete G Kovatsis
1Department of Anesthesiology, Perioperative and Pain Medicine, Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts 02115, USA. craig.mcclain@tch.harvard.edu
Abstract:
Laparoscopic surgery represents a significant advance in surgical technique, but a number of physiologic sequelae result from positioning and insufflation. These physiologic changes may be more significant in patients with complex congenital heart disease. We present the anesthetic management of a patient with Fontan physiology who successfully underwent two separate laparoscopic procedures.
