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Anesthetic management of hepatectomy for the patient with Fontan circulation: a case series

BACKGROUND: Hepatectomy for patients with Fontan circulation consists of high central venous pressure and low pulmonary vascular resistance, and is challenging for physicians. CASE PRESENTATION: We performed anesthetic management for hepatectomy in three patients with Fontan circulation. Massive ble...

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Autores principales: Sumie, Makoto, Kameyama, Nozomi, Akasaka, Taiki, Tanaka, Yuto, Ando, Taichi, Kandabashi, Tadashi, Karashima, Yuji, Yamaura, Ken
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9733739/
https://www.ncbi.nlm.nih.gov/pubmed/36484931
http://dx.doi.org/10.1186/s40981-022-00582-9
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author Sumie, Makoto
Kameyama, Nozomi
Akasaka, Taiki
Tanaka, Yuto
Ando, Taichi
Kandabashi, Tadashi
Karashima, Yuji
Yamaura, Ken
author_facet Sumie, Makoto
Kameyama, Nozomi
Akasaka, Taiki
Tanaka, Yuto
Ando, Taichi
Kandabashi, Tadashi
Karashima, Yuji
Yamaura, Ken
author_sort Sumie, Makoto
collection PubMed
description BACKGROUND: Hepatectomy for patients with Fontan circulation consists of high central venous pressure and low pulmonary vascular resistance, and is challenging for physicians. CASE PRESENTATION: We performed anesthetic management for hepatectomy in three patients with Fontan circulation. Massive bleeding and transfusion as well as careful management were needed. Open abdominal surgery had to be conducted instead of laparoscopic surgery for controlling bleeding in one case. We successfully performed general anesthesia using nitric oxide and inotropes while monitoring arterial pressure and central venous pressure in all the cases. CONCLUSIONS: To maintain Fontan circulation during hepatectomy, it is important to manage central venous pressure and ensure appropriate circulatory volume.
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spelling pubmed-97337392022-12-10 Anesthetic management of hepatectomy for the patient with Fontan circulation: a case series Sumie, Makoto Kameyama, Nozomi Akasaka, Taiki Tanaka, Yuto Ando, Taichi Kandabashi, Tadashi Karashima, Yuji Yamaura, Ken JA Clin Rep Case Report BACKGROUND: Hepatectomy for patients with Fontan circulation consists of high central venous pressure and low pulmonary vascular resistance, and is challenging for physicians. CASE PRESENTATION: We performed anesthetic management for hepatectomy in three patients with Fontan circulation. Massive bleeding and transfusion as well as careful management were needed. Open abdominal surgery had to be conducted instead of laparoscopic surgery for controlling bleeding in one case. We successfully performed general anesthesia using nitric oxide and inotropes while monitoring arterial pressure and central venous pressure in all the cases. CONCLUSIONS: To maintain Fontan circulation during hepatectomy, it is important to manage central venous pressure and ensure appropriate circulatory volume. Springer Berlin Heidelberg 2022-12-09 /pmc/articles/PMC9733739/ /pubmed/36484931 http://dx.doi.org/10.1186/s40981-022-00582-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Sumie, Makoto
Kameyama, Nozomi
Akasaka, Taiki
Tanaka, Yuto
Ando, Taichi
Kandabashi, Tadashi
Karashima, Yuji
Yamaura, Ken
Anesthetic management of hepatectomy for the patient with Fontan circulation: a case series
title Anesthetic management of hepatectomy for the patient with Fontan circulation: a case series
title_full Anesthetic management of hepatectomy for the patient with Fontan circulation: a case series
title_fullStr Anesthetic management of hepatectomy for the patient with Fontan circulation: a case series
title_full_unstemmed Anesthetic management of hepatectomy for the patient with Fontan circulation: a case series
title_short Anesthetic management of hepatectomy for the patient with Fontan circulation: a case series
title_sort anesthetic management of hepatectomy for the patient with fontan circulation: a case series
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9733739/
https://www.ncbi.nlm.nih.gov/pubmed/36484931
http://dx.doi.org/10.1186/s40981-022-00582-9
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