This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Bailey, K. M. Articles by Miller-Hance, W. C. Search for Related Content PubMed PubMed Citation Articles by Bailey, K. M. Articles by Miller-Hance, W. C. Related Collections Heart Pediatrics

---

PEDIATRIC ANESTHESIA

Anesthetic Management of a Young Adult with Complex Congenital Heart Disease and Bronchopleural Fistula for Rigid Bronchoscopy

Katherine M. Bailey, MD^*, Erin A. Gottlieb, MD, Joseph L. Edmonds, Jr, MD, and Wanda C. Miller-Hance, MD, FACC

From the *Department of Anesthesia, British Columbia Children’s Hospital, Vancouver, BC, Canada; Departments of Pediatrics and Anesthesiology, Baylor College of Medicine; and Texas Pediatric Otolaryngology Center, Texas Children’s Hospital, Houston, Texas.

The number of adults with congenital heart disease and those who require anesthetic care are increasing. We describe the anesthetic management of a young adult with palliated complex congenital heart disease and a chronic postsurgical bronchopleural fistula for rigid bronchoscopy. Perioperative considerations in the care of patients with single ventricle physiology for noncardiac procedures are reviewed. Specific requirements for rigid bronchoscopy are discussed in addition to the anesthetic implications of a bronchopleural fistula and particular concerns in the patient with single ventricle physiology.