Perioperative Management of an Adolescent Fontan Patient with Narrowing of the Aortopulmonary Space for Posterior Scoliosis Surgery

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...

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Autores principales: van Loon, Kim, Minkhorst, Remco, ter Heide, Henriette, Breur, Hans M. P., Kruyt, Moyo C., Schlosser, Tom P.C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Original Research
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9460710/
https://www.ncbi.nlm.nih.gov/pubmed/35953886
http://dx.doi.org/10.1177/10892532221114285
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author van Loon, Kim
Minkhorst, Remco
ter Heide, Henriette
Breur, Hans M. P.
Kruyt, Moyo C.
Schlosser, Tom P.C.
author_facet van Loon, Kim
Minkhorst, Remco
ter Heide, Henriette
Breur, Hans M. P.
Kruyt, Moyo C.
Schlosser, Tom P.C.
author_sort van Loon, Kim
collection PubMed
description 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.
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spelling pubmed-94607102022-09-10 Perioperative Management of an Adolescent Fontan Patient with Narrowing of the Aortopulmonary Space for Posterior Scoliosis Surgery van Loon, Kim Minkhorst, Remco ter Heide, Henriette Breur, Hans M. P. Kruyt, Moyo C. Schlosser, Tom P.C. Semin Cardiothorac Vasc Anesth Original Research 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. SAGE Publications 2022-08-11 2022-09 /pmc/articles/PMC9460710/ /pubmed/35953886 http://dx.doi.org/10.1177/10892532221114285 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research
van Loon, Kim
Minkhorst, Remco
ter Heide, Henriette
Breur, Hans M. P.
Kruyt, Moyo C.
Schlosser, Tom P.C.
Perioperative Management of an Adolescent Fontan Patient with Narrowing of the Aortopulmonary Space for Posterior Scoliosis Surgery
title Perioperative Management of an Adolescent Fontan Patient with Narrowing of the Aortopulmonary Space for Posterior Scoliosis Surgery
title_full Perioperative Management of an Adolescent Fontan Patient with Narrowing of the Aortopulmonary Space for Posterior Scoliosis Surgery
title_fullStr Perioperative Management of an Adolescent Fontan Patient with Narrowing of the Aortopulmonary Space for Posterior Scoliosis Surgery
title_full_unstemmed Perioperative Management of an Adolescent Fontan Patient with Narrowing of the Aortopulmonary Space for Posterior Scoliosis Surgery
title_short Perioperative Management of an Adolescent Fontan Patient with Narrowing of the Aortopulmonary Space for Posterior Scoliosis Surgery
title_sort perioperative management of an adolescent fontan patient with narrowing of the aortopulmonary space for posterior scoliosis surgery
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9460710/
https://www.ncbi.nlm.nih.gov/pubmed/35953886
http://dx.doi.org/10.1177/10892532221114285
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