• Maria A Bustillo, Ibrahim Hussain, Michael S Virk, Kai-Ming Fu, and Jacques H Scharoun.
• Department of Anesthesiology, Weill Cornell Medical College, New York, New York, USA; Department of Neurological Surgery, Weill Cornell Medical College, New York, New York, USA.
• World Neurosurg. 2020 Feb 1; 134: 302-307.

BackgroundPatients with single-ventricle congenital heart disease may present for scoliosis correction. These patients undergo a series of cardiac operations that create a novel circulation that has a significant impact on the management of their spinal surgery.Case DescriptionA 21-year-old man with severe scoliosis presented for posterior T4-L3 spinal fusion. He was born with complex congenital heart disease that resulted in his having a single functioning ventricle. He underwent a series of operations culminating in a Fontan procedure to palliate his heart disease. Both the surgical procedure and the anesthetic plan were modified based on his abnormal physiology, which led to a successful correction with no complications.ConclusionsPatients who have undergone a Fontan procedure can successfully undergo a lengthy scoliosis correction, but it requires multidisciplinary planning.Copyright © 2019 Elsevier Inc. All rights reserved.

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