Anesthetic management for the peripartum care of women with Fontan physiology

McCabe, Melissa; An, N.; Aboulhosn, Jamil; Schwarzenberger, Johanna; Canobbio, Mary M.; Vallera, Cristianna; Hong, Richard W.

doi:10.1016/j.ijoa.2021.103210

Cited by 4 publications

(2 citation statements)

References 14 publications

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“…The principles of hemodynamic management in Fontan circulation include maintaining preload and cardiac contractility and avoiding an increase in pulmonary vascular resistance [ 1 , 2 ]. Successful anesthetic management of cesarean delivery in patients with Fontan circulation has been reported [ 4 , 5 ]. However, this is the first report of a Fontan-palliated parturient complicated with PAS.…”

Section: Discussionmentioning

confidence: 99%

Anesthetic management of cesarean hysterectomy using intra-aortic balloon occlusion in a patient with Fontan circulation and placenta increta: a case report

et al. 2023

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Background In patients with Fontan circulation, hemorrhage can cause life-threatening circulatory collapse, since Fontan circulation strongly depends on the preload. Furthermore, parturients with placenta accreta spectrum are at a high risk of rapid and massive hemorrhage. Herein, we report the case of an intra-aortic balloon occlusion used for a Fontan-palliated parturient with placenta increta with successful anesthetic management. Case presentation A 35-year-old-female with Fontan circulation diagnosed with placenta increta underwent a cesarean hysterectomy. The main goal during anesthetic management was to maintain sufficient preload. Infrarenal intra-aortic balloon occlusion was used to reduce intraoperative hemorrhage. The hemodynamic changes caused were well tolerated in this case. Conclusions Intra-aortic balloon occlusion was used in a Fontan-palliated parturient with placenta increta with successful anesthetic management.

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Section: Discussionmentioning

confidence: 99%

Anesthetic management of cesarean hysterectomy using intra-aortic balloon occlusion in a patient with Fontan circulation and placenta increta: a case report

et al. 2023

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“…preeclampsia with severe features, or postpartum hemorrhage) could benefit from an increased level of care in the ICU. As atrial arrhythmias and symptomatic heart failure are the most common cardiac complications for this patient population, a minimum of 24 h telemetry and cardiac monitoring should be considered postpartum [20]. Strict attention to intake and output is important for the duration of the postpartum hospitalization.…”

Section: Postpartum Carementioning

confidence: 99%

Trends in outcomes of pregnancy in patients with congenital heart disease

Cutshall

Gourdine

Bender

et al. 2022

Current Opinion in Anaesthesiology

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Purpose of reviewThis review aims to analyze the trends in the management of pregnant patients with congenital heart disease (CHD).Recent findingsThe literature that this article reviews specifically highlights the importance of multidisciplinary and specialized care, the unique and variable physiologic differences within the umbrella of CHD in pregnancy, and recommendations for obstetric and anesthetic care in the prenatal and peripartum period.SummaryThe findings that this article summarizes have profound implications for clinical practice and management of the patient with CHD, including the optimization of preoperative screening, facilitation of ideal prenatal care to include qualified specialists and resources, and recommendations for optimal anesthetic management during labor and delivery.

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Cardiac disease in pregnancy

Rex

Devroe

2022

Best Practice & Research Clinical Anaesthesiology

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Anesthetic management for the peripartum care of women with Fontan physiology

Cited by 4 publications

References 14 publications

Anesthetic management of cesarean hysterectomy using intra-aortic balloon occlusion in a patient with Fontan circulation and placenta increta: a case report

Anesthetic management of cesarean hysterectomy using intra-aortic balloon occlusion in a patient with Fontan circulation and placenta increta: a case report

Trends in outcomes of pregnancy in patients with congenital heart disease

Cardiac disease in pregnancy

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