Anesthetic management of hepatectomy for the patient with Fontan circulation: a case series
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. Mass...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2022-12-01
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| Series: | JA Clinical Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40981-022-00582-9 |
| _version_ | 1811301657100681216 |
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| author | Makoto Sumie Nozomi Kameyama Taiki Akasaka Yuto Tanaka Taichi Ando Tadashi Kandabashi Yuji Karashima Ken Yamaura |
| author_facet | Makoto Sumie Nozomi Kameyama Taiki Akasaka Yuto Tanaka Taichi Ando Tadashi Kandabashi Yuji Karashima Ken Yamaura |
| author_sort | Makoto Sumie |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-13T07:13:47Z |
| format | Article |
| id | doaj.art-cec4e04d19424c9882c3cc8bba4fddbe |
| institution | Directory Open Access Journal |
| issn | 2363-9024 |
| language | English |
| last_indexed | 2024-04-13T07:13:47Z |
| publishDate | 2022-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj.art-cec4e04d19424c9882c3cc8bba4fddbe2022-12-22T02:56:49ZengSpringerOpenJA Clinical Reports2363-90242022-12-01811410.1186/s40981-022-00582-9Anesthetic management of hepatectomy for the patient with Fontan circulation: a case seriesMakoto Sumie0Nozomi Kameyama1Taiki Akasaka2Yuto Tanaka3Taichi Ando4Tadashi Kandabashi5Yuji Karashima6Ken Yamaura7Department of Anesthesiology and Critical Care Medicine, Kyushu University HospitalDepartment of Anesthesiology and Critical Care Medicine, Kyushu University HospitalDepartment of Anesthesiology and Critical Care Medicine, Kyushu University HospitalDepartment of Anesthesiology and Critical Care Medicine, Kyushu University HospitalDepartment of Anesthesiology and Critical Care Medicine, Kyushu University HospitalMedical Information Center, Kyushu University HospitalOperating Rooms, Kyushu University HospitalDepartment of Anesthesiology and Critical Care Medicine, Kyushu University HospitalAbstract 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.https://doi.org/10.1186/s40981-022-00582-9Fontan circulationHepatocellular carcinomaHepatectomyLaparoscopic |
| spellingShingle | Makoto Sumie Nozomi Kameyama Taiki Akasaka Yuto Tanaka Taichi Ando Tadashi Kandabashi Yuji Karashima Ken Yamaura Anesthetic management of hepatectomy for the patient with Fontan circulation: a case series JA Clinical Reports Fontan circulation Hepatocellular carcinoma Hepatectomy Laparoscopic |
| 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 | Fontan circulation Hepatocellular carcinoma Hepatectomy Laparoscopic |
| url | https://doi.org/10.1186/s40981-022-00582-9 |
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