Anaesthetic Management in a Patient with Fontan Circulation Posted for Elective Tibial Nailing
Journal Title: International Journal Of Medical Science And Clinical Research Studies - Year 2023, Vol 3, Issue 4
Abstract
The fatality rate for pediatric population with complex congenital cardiac disease has decreased as a result of improvements in surgical techniques and conservative management[1]. Therefore, more patients are presenting for non-cardiac surgeries as adults with congenital cardiac history [2]. For individuals with complex congenital cardiac disease and single ventricle physiology, the fontan procedure is a palliative operation that reroutes the systemic venous return to the pulmonary artery [3]. Despite improvements in outcomes, this aberrant circulation has a number of co-morbidities, including cardiac dysfunction, arrhythmias, shunt abnormalities, limited exercise ability, and other systemic manifestations[4]. These patients raise various anaesthetic concerns, such as understanding underlying cardiac morphology and mechanics and being conversant with the complexities of fontan physiology for efficient intra-operative management. In this report, we present a case of a 17-year-old male, with complex congenital heart disease with fontan physiology, posted electively for left tibia nailing under sequential combined spinal epidural anaesthesia.
Authors and Affiliations
Dr. Archita Patil , Dr. Srishti Setiya, Dr. V. Vishnu Teja
Keywords
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- EP ID EP740069
- DOI 10.47191/ijmscrs/v3-i4-27
- Views 49
- Downloads 0
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