Successful one-lung ventilation in a patient with the Fontan circulation undergoing thoracotomy: a case report

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• 作者：Nozomi Majima (1) ma393@y4.dion.ne.jp
  Tetsuro Kagawa (2)
  Takeshi Suzuki (2)
  Akiko Kurosaki (2)
• 关键词：Total cavopulmonary connection operation &#8211 ; One ; lung ventilation &#8211 ; Pulmonary vascular resistance
• 刊名：Journal of Anesthesia
• 出版年：2012
• 出版时间：June 2012
• 年：2012
• 卷：26
• 期：3
• 页码：453-455
• 全文大小：308.5 KB
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• 作者单位：1. Department of Anesthesiology, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki, Osaka 569-8686, Japan2. Department of Anesthesiology, Hyogo Prefectural Kobe Children鈥檚 Hospital, Kobe, Japan
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Anesthesiology
  
• 出版者：Springer Japan
• ISSN：1438-8359

文摘

The incidence of noncardiac surgery in patients with the Fontan circulation has increased over the years due to the elongated life expectancy of these patients. In patients with the Fontan circulation, pulmonary blood flow is passive, so it is important to keep pulmonary vascular resistance low. One-lung ventilation (OLV) can have adverse effects on the Fontan circulation due to hypoxia, hypoxic pulmonary vasoconstriction, hypercarbia, and increased airway pressure. We present a case of successful OLV in a patient with the Fontan circulation and describe our perioperative management.