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

Makoto Sumie, Nozomi Kameyama, Taiki Akasaka, Yuto Tanaka, Taichi Andoh, Tadashi Kandabashi, Yuji Karashima, Ken Yamaura

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Article number94
JournalJA Clinical Reports
Volume8
Issue number1
DOIs
Publication statusPublished - Dec 2022

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

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