Laparoscopic cholecystectomy in a patient with Fontan circulation.

ABSTRACT:

Background

Fontan circulation is created when a baby is born with only one functioning cardiac ventricle. A series of surgeries are performed to allow the ventricle to provide oxygenated blood to the systemic circulation and to create passive flow of venous blood to the pulmonary circulation via a conduit. Laparoscopic surgery poses several hemodynamic challenges to a patient with Fontan physiology attributable to carbon dioxide insufflation, positive pressure ventilation, and reverse Trendelenburg positioning.

Clinical features

A 39-yr-old male with a Fontan physiology was referred to our tertiary care centre because of repeated bouts of cholecystitis requiring a percutaneous drain and now elective laparoscopic cholecystectomy. Because of repeated cardiac surgeries, the pat

SUBMITTER: Tankul R 

PROVIDER: S-EPMC11493831 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature