Laparoscopic surgery in the pediatric patient post Fontan procedure
KATHERINE L. TAYLOR B.Med(Hons) FANZCA,
HELEN HOLTBY MD FRCPC,
BRUCE MACPHERSON MD FRCPC,
KATHERINE L. TAYLOR B.Med(Hons) FANZCA
Department of Anaesthesia, Hospital for Sick Children, Toronto, Canada
Search for more papers by this authorHELEN HOLTBY MD FRCPC
Department of Anaesthesia, Hospital for Sick Children, Toronto, Canada
Search for more papers by this authorBRUCE MACPHERSON MD FRCPC
Search for more papers by this authorKATHERINE L. TAYLOR B.Med(Hons) FANZCA,
HELEN HOLTBY MD FRCPC,
BRUCE MACPHERSON MD FRCPC,
KATHERINE L. TAYLOR B.Med(Hons) FANZCA
Department of Anaesthesia, Hospital for Sick Children, Toronto, Canada
Search for more papers by this authorHELEN HOLTBY MD FRCPC
Department of Anaesthesia, Hospital for Sick Children, Toronto, Canada
Search for more papers by this authorBRUCE MACPHERSON MD FRCPC
Search for more papers by this authorDr Katherine L. Taylor, Department of Anaesthesia, Hospital for Sick Children, Toronto, Canada M5G1H4 (email: [email protected]).
Summary
We present two case reports describing laparoscopic surgery in patients who have undergone previous Fontan surgery and discuss the theoretical implications of laparoscopic surgery in these patients. A brief discussion of the late complications of Fontan surgery is included.
References
- 1 Penny DJ, Hayek Z, Redington AN. The effects of positive and negative extrathoracic pressure ventilation on pulmonary blood flow after the total cavopulmonary shunt procedure. Int J Cardiol 1991; 30: 128–130.
- 2 Penny DJ, Redington AN. Doppler echocardiographic evaluation of pulmonary blood flow after the Fontan operation: the role of the lungs. Br Heart J 1991; 66: 372–374.
- 3 Lake CL, Booker P. Pediatric Cardiac Anesthesia, 4th edn. Philadelphia, PA: Lippincott Williams Wilkins, 2005.
- 4 Williams DB, Kiernan PD, Metke MP et al. Hemodynamic response to positive end-expiratory pressure following right atrium-pulmonary artery bypass (Fontan procedure). J Thorac Cardiovasc Surg 1984; 87: 856–861.
- 5 Hsia TY, Khambadkone S, Redington AN et al. Effects of respiration and gravity on infradiaphragmatic venous flow in normal and Fontan patients. Circulation 2000; 102(19 Suppl. 3): III148–III153.
- 6 Dilawar M, Bradley SM, Saul JP et al. Sinus node dysfunction after intraatrial lateral tunnel and extracardiac conduit fontan procedures. Pediatr Cardiol 2003; 24: 284–288.
- 7 Narkewicz MR, Sondheimer HM, Ziegler JW et al. Hepatic Dysfunction Following the Fontan Procedure [article]. J Pediatr Gastroenterol Nutr 2003, March; 36: 352–357.
- 8 Kaulitz R, Ziemer G, Rauch R et al. Prophylaxis of thromboembolic complications after the Fontan operation (total cavopulmonary anastomosis) [see comment]. J Thorac Cardiovasc Surg 2005; 129: 569–575.
- 9 Seipelt RG, Franke A, Vazquez-Jimenez JF et al. Thromboembolic complications after Fontan procedures: comparison of different therapeutic approaches. Ann Thorac Surg 2002; 74: 556–562.
- 10 Kim SJ, Park IS, Song JY et al. Reversal of protein-losing enteropathy with calcium replacement in a patient after Fontan operation. Ann Thorac Surg 2004; 77: 1456–1457.
- 11 Rowney D, Aldridge L. Laparoscopic fundoplication in children: anaesthetic experience of 51 cases. Paediatr Anaesth 2000; 10: 291–296.
- 12 Gueugniaud P-Y, Abisseror M, Moussa M et al. The hemodynamic effects of pneumoperitoneum during laparoscopic surgery in healthy infants: assessment by continuous esophageal aortic blood flow echo-Doppler. Anesth Analg 1998; 86: 290–293.
- 13 Truchon R. Anesthetic considerations for laparoscopic surgery in neonates and infants: a practical review. Best Pract Res Clin Anesthesiol 2004; 18: 343–355.
- 14 Manner T, Aantaa R, Alanen M. Lung compliance during laparoscopic surgery in paediatric patients. Paediatr Anaesth 1998; 8: 25–29.
- 15 Wulkan ML, Vasudevan SA. Is end-tidal CO2 an accurate measure of arterial CO2 during laparoscopic procedures in children and neonates with cyanotic congenital heart disease? J Pediatr Surg 2001; 36: 1234–1236.
- 16 Li J, Hoskote A, Hickey C et al. Effect of carbon dioxide on systemic oxygenation, oxygen consumption, and blood lactate levels after bidirectional superior cavopulmonary anastomosis [see comment]. Crit Care Med 2005; 33: 984–989.
- 17 Hoskote A, Li J, Hickey C, Erickson S et al. The effects of carbon dioxide on oxygenation and systemic, cerebral, and pulmonary vascular hemodynamics after the bidirectional superior cavopulmonary anastomosis. J Am Coll Cardiol 2004; 44: 1501–1509.