• Semin Cardiothorac Vasc Anesth · Sep 2015

    Review

    Anesthetic Management of Parturients With a Fontan Circulation: A Review of Published Case Reports.

    • Mohamed Tiouririne, Duncan G de Souza, Kevin T Beers, and Terrance A Yemen.
    • University of Virginia, Charlottesville, VA, USA mt9y@virginia.edu.
    • Semin Cardiothorac Vasc Anesth. 2015 Sep 1; 19 (3): 203-9.

    AbstractParturients with Fontan physiology provide unique and complex challenges to anesthesiologists. Such challenges include the maintenance of a perfect balance between preload, pulmonary vascular resistance, afterload, and cardiac output in a setting of a single ventricle physiology. The physiological changes of pregnancy add additional burden to an already "fragile" physiology, making the anesthetic management for labor and/or cesarean delivery even more complex. Understanding the impact of these changes on the Fontan physiology and the effect of anesthetic choices on this dyad (pregnancy-Fontan) is an imperative prior to caring for these patients. In an effort to determine how these patients are best managed for labor and/or cesarean delivery, we have reviewed the literature examining the peripartum anesthetic management of parturients with Fontan circulation and have identified 27 case reports. © The Author(s) 2015.

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