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Anesth Analg 2006;103:856-858
© 2006 International Anesthesia Research Society
doi: 10.1213/01.ane.0000237294.88298.8e

CARDIOVASCULAR ANESTHESIA

Laparoscopic Surgery in a Patient with Fontan Physiology

Craig D. McClain, MD, Francis X. McGowan, MD, and Pete G. Kovatsis, MD

From the Department of Anesthesiology, Perioperative and Pain Medicine, Children’s Hospital Boston, Harvard Medical School, Boston, Massachusetts.

Address correspondence to Craig D. McClain, MD, Department of Anesthesiology, Perioperative and Pain Medicine, Children’s Hospital, 300 Longwood Avenue, Bader 3, Boston, MA 02115. Address e-mail to craig.mcclain{at}tch.harvard.edu.

Laparoscopic surgery represents a significant advance in surgical technique, but a number of physiologic sequelae result from positioning and insufflation. These physiologic changes may be more significant in patients with complex congenital heart disease. We present the anesthetic management of a patient with Fontan physiology who successfully underwent two separate laparoscopic procedures.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2006 by the International Anesthesia Research Society.