ANAESTHESIA MANAGEMENT IN FONTAN PROCEDURE

Artikel Jurnal ANAESTHESIA MANAGEMENT IN FONTAN PROCEDURE

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ABSTRACT

Introduction: Single ventricle is a complex congenital heart disease, and living with this has numerous restrictions. The natural history of univentricle heart without cardiac surgery is calamity. Fontan procedure is offered to patients with single ventricle. The outcome of the Fontan procedure is affected by sevetal factors including patients, procedure, management, and gradual increase in right-side venous pressure. By the pass of time right ventricular failure deteriorates the function of the system including increased pulmonary vascular resistance, increased systemic venous pressure, chronic low cardiac output state, right ventricular dysfunction, and failure of the single ventricle repair.

Case presentation:This study presents a 19 year old woman with double outlet right ventricle, ventricular septal defect, pulmonary stenosis, patent ductus arteriosus, bilateral superior cava vein, who underwent a Fontan procedure.

Conclusion:Font procedure will increase the survival of patients. The long-term outcomes of patients are associated with numerous complications. The absence of patients compliance and close follow-up, the consequence is catastrophic.

Keyword:Congenital heart disease, Single ventricle, Fontan procedure, physiology

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