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Anesth Analg 2006;103:1432-1435
© 2006 International Anesthesia Research Society
doi: 10.1213/01.ane.0000243331.61117.f2

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{dagger}, Joseph L. Edmonds, Jr, MD{ddagger}, and Wanda C. Miller-Hance, MD, FACC{dagger}

From the *Department of Anesthesia, British Columbia Children’s Hospital, Vancouver, BC, Canada; {dagger}Departments of Pediatrics and Anesthesiology, Baylor College of Medicine; and {ddagger}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.






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.