Management of 1-Lung Ventilation in a Patient With Failing Fontan Circulation.

Journal Article (Journal Article)

The number of patients reaching adulthood after undergoing Fontan palliation for the repair of a congenital heart defect continues to increase. In this case report, we present the anesthetic management of a patient with a history of tricuspid atresia treated with palliative Fontan repair who had developed clinical evidence of Fontan failure. He presented with septic shock secondary to streptococcal toxic shock syndrome complicated by a loculated pleural effusion. He underwent open thoracic decortication under 1-lung ventilation. Discussion focuses on the management of volume status and pulmonary vascular resistance as well as surgical implications of Fontan physiology in thoracic surgery.

Full Text

Duke Authors

Cited Authors

  • Gregory, SH; Swaminathan, M; Maisonave, Y; Machovec, KA

Published Date

  • October 15, 2016

Published In

Volume / Issue

  • 7 / 8

Start / End Page

  • 177 - 180

PubMed ID

  • 27552237

Electronic International Standard Serial Number (EISSN)

  • 2325-7237

Digital Object Identifier (DOI)

  • 10.1213/XAA.0000000000000377


  • eng

Conference Location

  • United States