Department of Anesthesia, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.
J Clin Anesth. 2010 Sep;22(6):460-5. doi: 10.1016/j.jclinane.2009.07.012.
The management of a patient who had previously undergone surgical palliation of tricuspid atresia at the age of two, and who required right parietal craniotomy for resection of seizure focus, is presented. The anesthetic considerations in patients with Fontan physiology are also presented, as well as the impact on patients undergoing neurosurgical procedures, specifically, craniotomy for seizure focus resection. The physiologic demands of modern surgical practice requires that there is a thorough understanding of the complex circulations that exist in patients with congenital heart disease.
本文介绍了一位患者的管理情况。该患者曾在两岁时接受过三尖瓣闭锁的手术姑息治疗，现因切除癫痫灶需要行右侧顶骨开颅术。本文还介绍了 Fontan 生理学患者的麻醉注意事项，以及对接受神经外科手术（具体为癫痫灶切除术的开颅术）的患者的影响。现代外科手术实践的生理需求要求对患有先天性心脏病的患者中存在的复杂循环有透彻的了解。
