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

Publication ,  Journal Article
Gregory, SH; Swaminathan, M; Maisonave, Y; Machovec, KA
Published in: A A Case Rep
October 15, 2016

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.

Duke Scholars

Published In

A A Case Rep

DOI

EISSN

2325-7237

Publication Date

October 15, 2016

Volume

7

Issue

8

Start / End Page

177 / 180

Location

United States

Related Subject Headings

  • Shock
  • One-Lung Ventilation
  • Male
  • Humans
  • Heart Defects, Congenital
  • Fontan Procedure
  • Adult
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Gregory, S. H., Swaminathan, M., Maisonave, Y., & Machovec, K. A. (2016). Management of 1-Lung Ventilation in a Patient With Failing Fontan Circulation. A A Case Rep, 7(8), 177–180. https://doi.org/10.1213/XAA.0000000000000377
Gregory, Stephen H., Madhav Swaminathan, Yasmin Maisonave, and Kelly A. Machovec. “Management of 1-Lung Ventilation in a Patient With Failing Fontan Circulation.A A Case Rep 7, no. 8 (October 15, 2016): 177–80. https://doi.org/10.1213/XAA.0000000000000377.
Gregory SH, Swaminathan M, Maisonave Y, Machovec KA. Management of 1-Lung Ventilation in a Patient With Failing Fontan Circulation. A A Case Rep. 2016 Oct 15;7(8):177–80.
Gregory, Stephen H., et al. “Management of 1-Lung Ventilation in a Patient With Failing Fontan Circulation.A A Case Rep, vol. 7, no. 8, Oct. 2016, pp. 177–80. Pubmed, doi:10.1213/XAA.0000000000000377.
Gregory SH, Swaminathan M, Maisonave Y, Machovec KA. Management of 1-Lung Ventilation in a Patient With Failing Fontan Circulation. A A Case Rep. 2016 Oct 15;7(8):177–180.

Published In

A A Case Rep

DOI

EISSN

2325-7237

Publication Date

October 15, 2016

Volume

7

Issue

8

Start / End Page

177 / 180

Location

United States

Related Subject Headings

  • Shock
  • One-Lung Ventilation
  • Male
  • Humans
  • Heart Defects, Congenital
  • Fontan Procedure
  • Adult