Perioperative Management of an Adolescent Fontan Patient with Narrowing of the Aortopulmonary Space for Posterior Scoliosis Surgery. (September 2022)

• Record Type: Journal Article
• Authors: van Loon, Kim; Minkhorst, Remco; ter Heide, Henriette; Breur, Hans M. P.; Kruyt, Moyo C.; Schlosser, Tom P.C.
• Is Part Of: Seminars in cardiothoracic and vascular anesthesia. Volume 26:Number 3(2022)
• Page Start: 221
• Page End: 225
• Publication Date: 2022-09
• Subjects: congenital heart disease -- Fontan -- aortapulmonary space -- airway Malacia -- non-cardiac surgery -- single ventricle -- cardiac anesthesia -- adult congenital heart disease -- GUCH -- ACHD; Cardiovascular system -- Surgery -- Methods -- Periodicals; Chest -- Surgery -- Methods -- Periodicals; Anesthesia -- Periodicals; Anesthetics -- Periodicals; Anesthesia -- Periodicals; Anesthetics -- Periodicals; Cardiovascular Surgical Procedures -- methods -- Periodicals; Thoracic Surgical Procedures -- methods -- Periodicals; 617.96
• DOI: 10.1177/10892532221114285
• Languages: English
• ISSNs: 1089-2532

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.