Perioperative Management of an Adolescent Fontan Patient with Narrowing of the Aortopulmonary Space for Posterior Scoliosis Surgery
Publication date
2022-09
Authors
van Loon, Kim
Minkhorst, Remco
ter Heide, Henriëtte
Breur, Johannes M.P.J.
Kruyt, Moyo C
Schlosser, Tom P C
Editors
Advisors
Supervisors
Document Type
Article
Metadata
Show full item recordCollections
License
cc_by_nc
Abstract
Congenital cardiac patients who received neonatal reconstructive aortic arch surgery are at risk of aortopulmonary space narrowing with compression of the left pulmonary artery and left main bronchus (LMB) later in life. We discuss a challenging adolescent single ventricle patient who presented for surgical treatment of a non-idiopathic thoracic scoliosis (posterior spinal fusion) with severe stenosis of the LMB and left pulmonary artery due to a narrow aortopulmonary space. Careful preoperative imaging, evaluation, and decision making resulted in successful surgical treatment and uneventful perioperative course.
Keywords
ACHD, adult congenital heart disease, airway Malacia, aortapulmonary space, cardiac anesthesia, congenital heart disease, Fontan, GUCH, non-cardiac surgery, single ventricle, Cardiology and Cardiovascular Medicine, Anesthesiology and Pain Medicine, Journal Article
Citation
van Loon, K, Minkhorst, R, Ter Heide, H, Breur, H M P, Kruyt, M C & Schlosser, T P C 2022, 'Perioperative Management of an Adolescent Fontan Patient with Narrowing of the Aortopulmonary Space for Posterior Scoliosis Surgery', Seminars in Cardiothoracic and Vascular Anesthesia, vol. 26, no. 3, pp. 221-225. https://doi.org/10.1177/10892532221114285