Laparoscopic surgery in a child with a failing Fontan circulation

被引：0
|
作者：
Anagnostopoulos, A. [1 ]
Boegli, Y. [2 ]
Perez, M. [3 ]
Roessingh, A. de Buys [4 ]
Di Bernardo, S. [5 ]
Mauron, S. [2 ]
机构：
[1] Lausanne Univ Hosp, Dept Anaesthesiol, Lausanne, Switzerland
[2] Lausanne Univ, Lausanne Univ Hosp, Paediat Anaesthesia Unit, Lausanne, Switzerland
[3] Lausanne Univ, Lausanne Univ Hosp, Paediat Intens Care Unit, Lausanne, Switzerland
[4] Lausanne Univ, Lausanne Univ Hosp, Dept Infant & Adolescent Surg, Lausanne, Switzerland
[5] Lausanne Univ, Lausanne Univ Hosp, Paediat Cardiol Unit, Lausanne, Switzerland
来源：
ANAESTHESIA REPORTS | 2023年 / 11卷 / 01期
关键词：
failing Fontan; laparoscopic surgery; pulmonary hypertension; OUTCOMES; PATIENT;
D O I：
10.1002/anr3.12217
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
A child with early failure of a Fontan circulation was listed for cardiac transplantation and then developed a subhepatic abscess. Surgical drainage was deemed necessary after the failure of an attempted percutaneous procedure. Following a multidisciplinary discussion, a laparoscopic technique was chosen to optimise postoperative recovery. To our knowledge, the literature does not describe any case of laparoscopic surgery in a patient with a failing Fontan circulation. This case report highlights the physiological variations involved with this management strategy, discusses the implications and risks, and offers some recommendations.
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页数：4
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