Anesthetic Management Of Non-cardiac Surgery In A Patient With Fontan Physiology
35 week ex-utero premature baby boy born with Double Inlet Left Ventricle (DILV) after Norwood procedure and Bi-directional Glenn procedure presented after chest tube removal precipitated a small piece of omentum to extrude through the chest tube site. Operative management began with mask induction with sevoflurane, oxygen, and room air to maintain oxygen saturations in the high 80's. Baseline Fontan physiology was maintained intraoperatively. The omentum was cauterized and chest tube site was sutured closed. This case will discuss management of anesthesia for noncardiac surgery in patients with congenital heart disease.
Jones J, Al-Attar N, Navas Blanco J. Anesthetic management of non-cardiac surgery in a patient with Fontan physiology. Presented at: American Society of Anesthesiology Annual Meeting; 2022 Oct 21-25; New Orleans, LA.