Management of 1-Lung Ventilation in a Patient With Failing Fontan Circulation

Stephen H. Gregory, Madhav Swaminathan, Yasmin Maisonave, Kelly A. Machovec

Research output: Contribution to journalArticlepeer-review


The number of patients reaching adulthood after undergoing Fontan palliation for the repair of a congenital heart defect continues to increase. In this case report, we present the anesthetic management of a patient with a history of tricuspid atresia treated with palliative Fontan repair who had developed clinical evidence of Fontan failure. He presented with septic shock secondary to streptococcal toxic shock syndrome complicated by a loculated pleural effusion. He underwent open thoracic decortication under 1-lung ventilation. Discussion focuses on the management of volume status and pulmonary vascular resistance as well as surgical implications of Fontan physiology in thoracic surgery.

Original languageEnglish
Pages (from-to)177-180
Number of pages4
JournalA & A case reports
Issue number8
StatePublished - Oct 15 2016


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