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Scoliosis Correction with One Ventricle: A Multispecialty Approach
Maria A Bustillo1, Ibrahim Hussain2, Michael S Virk2
1Department of Anesthesiology, Weill Cornell Medical College, New York, New York, USA; Department of Neurological Surgery, Weill Cornell Medical College, New York, New York, USA.
Insights
Patients with single-ventricle congenital heart disease who had a Fontan procedure can undergo scoliosis correction surgery. This complex spinal surgery requires careful multidisciplinary planning for successful outcomes.
Area of Science:
- Cardiology
- Orthopedic Surgery
- Pediatric Congenital Heart Disease
Background:
- Single-ventricle congenital heart disease necessitates complex cardiac surgeries, altering patient physiology.
- These physiological changes significantly impact the management of concurrent spinal conditions like scoliosis.
Background:
Patients with single-ventricle congenital heart disease may present for scoliosis correction. These patients undergo a series of cardiac operations that create a novel circulation that has a significant impact on the management of their spinal surgery.
Case Description:
A 21-year-old man with severe scoliosis presented for posterior T4-L3 spinal fusion. He was born with complex congenital heart disease that resulted in his having a single functioning ventricle. He underwent a series of operations culminating in a Fontan procedure to palliate his heart disease. Both the surgical procedure and the anesthetic plan were modified based on his abnormal physiology, which led to a successful correction with no complications.
Conclusions:
Patients who have undergone a Fontan procedure can successfully undergo a lengthy scoliosis correction, but it requires multidisciplinary planning.
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