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Anaesthetic management of a child with Fontan heart undergoing laparoscopic cholecystectomy: A case report
Siddharth M1, R Jayanthi1, Prasad Manne1,2
1Kanchi Kamakoti CHILDS Trust Hospital, Chennai, India.
Insights
Managing patients with Fontan circulation requires careful planning. This case study details the successful anesthetic management of a teenager undergoing laparoscopic cholecystectomy, highlighting a multidisciplinary approach for complex congenital heart defects.
Area of Science:
- Pediatric Cardiology
- Anesthesiology
- Congenital Heart Disease
Background:
- The Fontan procedure is a palliative surgery for univentricular heart defects.
- Patients with Fontan circulation have altered physiology and are prone to complications.
- Perioperative management in these patients presents unique challenges.
Abstract:
The Fontan procedure is a staged palliative surgery performed in children with congenital univentricular heart defects. These individuals are predisposed to a variety of issues due to their altered physiology. Through this article, we would like to describe the evaluation and anaesthetic management of a 14-year-old boy with Fontan circulation who underwent an uneventful laparoscopic cholecystectomy. The key to successful management was a multidisciplinary approach throughout the perioperative period as these patients pose a unique set of problems.
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