• A&A practice · Oct 2019

    Case Reports

    Total Hip Replacement in a Patient With a Fontan Circulation: A Case Report.

    • Nicholas D Black, Jane Heggie, Rebecca Moga, Candice Silversides, and Ki Jinn Chin.
    • From the Department of Anesthesia, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada.
    • A A Pract. 2019 Oct 15; 13 (8): 316-318.

    AbstractAnesthetic management of the adult patient with a Fontan circulation is complex and requires understanding of the specific physiology of the individual patient. Long-term survival in this cohort has increased to the point where patients are presenting for noncardiac surgery related to degenerative diseases of aging. We describe the perioperative management of a patient with a Fontan circulation undergoing total hip arthroplasty using combined spinal-epidural anesthesia and discuss the issues requiring special consideration for this surgical procedure in this group of patients.

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