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Total Hip Replacement in a Patient With a Fontan Circulation: A Case Report
Nicholas D Black1, Jane Heggie2, Rebecca Moga1
1From the Department of Anesthesia, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada.
Abstract:
Anesthetic management of the adult patient with a Fontan circulation is complex and requires understanding of the specific physiology of the individual patient. Long-term survival in this cohort has increased to the point where patients are presenting for noncardiac surgery related to degenerative diseases of aging. We describe the perioperative management of a patient with a Fontan circulation undergoing total hip arthroplasty using combined spinal-epidural anesthesia and discuss the issues requiring special consideration for this surgical procedure in this group of patients.
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