TY - JOUR
T1 - Anesthetic management of labor and postpartum bleeding in a patient with Fontan physiology
AU - Grunwald, Z.
AU - Friedman, L.
AU - Hirsch, R.
AU - Doron, K.
PY - 1997/11
Y1 - 1997/11
N2 - We describe the obstetric anesthetic management of a patient with complex congenital heart anomaly consisting of transposed great arteries, double inlet left ventricle and subpulmonic stenosis. Successful management of a patient with Fontan physiology mandates a thorough understanding of the hemodynamic consequences of this procedure and the alterations during pregnancy. The major considerations are related to the fact that the systemic venous return reaches the pulmonary vasculature without the augmentation of a functioning ventricle.
AB - We describe the obstetric anesthetic management of a patient with complex congenital heart anomaly consisting of transposed great arteries, double inlet left ventricle and subpulmonic stenosis. Successful management of a patient with Fontan physiology mandates a thorough understanding of the hemodynamic consequences of this procedure and the alterations during pregnancy. The major considerations are related to the fact that the systemic venous return reaches the pulmonary vasculature without the augmentation of a functioning ventricle.
KW - Congenital heart defects
KW - Fontan surgical procedure
KW - Obstetric anesthesia
UR - http://www.scopus.com/inward/record.url?scp=0031280290&partnerID=8YFLogxK
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C2 - 9434813
AN - SCOPUS:0031280290
SN - 0021-2180
VL - 33
SP - 749
EP - 751
JO - Israel Journal of Medical Sciences
JF - Israel Journal of Medical Sciences
IS - 11
ER -
