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JA Clinical Reports
Published in: JA Clinical Reports 1/2022

Open Access 01-12-2022 | Hepatocellular Carcinoma | Case report

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

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

Published in: JA Clinical Reports | Issue 1/2022

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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.
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Metadata
Title
Anesthetic management of hepatectomy for the patient with Fontan circulation: a case series
Authors
Makoto Sumie
Nozomi Kameyama
Taiki Akasaka
Yuto Tanaka
Taichi Ando
Tadashi Kandabashi
Yuji Karashima
Ken Yamaura
Publication date
01-12-2022
Publisher
Springer Berlin Heidelberg
Published in
JA Clinical Reports / Issue 1/2022
Electronic ISSN: 2363-9024
DOI
https://doi.org/10.1186/s40981-022-00582-9

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