Anesthetic Management of Parturients With a Fontan Circulation: A Review of Published Case Reports.
Document Type
Article
Publication Title
Seminars in cardiothoracic and vascular anesthesia
Abstract
Parturients 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.
First Page
203
Last Page
209
DOI
10.1177/1089253214566887
Publication Date
9-1-2015
Recommended Citation
Tiouririne M, de Souza DG, Beers KT, Yemen TA. Anesthetic Management of Parturients With a Fontan Circulation: A Review of Published Case Reports. Semin Cardiothorac Vasc Anesth. 2015 Sep;19(3):203-9. doi: 10.1177/1089253214566887. Epub 2015 Jan 13. PMID: 25586083.