Mauriat P, Tafer N
Service d'anesthésie II, hôpital Haut-Lévèque, avenue de Magellan, 33604 Pessac cedex, France.
Ann Fr Anesth Reanim. 2013 Jan;32(1):e31-6. doi: 10.1016/j.annfar.2012.10.029. Epub 2013 Jan 8.
The considerable progress, performed for more than 30 years, in paediatric and interventional cardiology, imaging, surgery, anaesthesia and critical care in the congenital heart diseases allowed the survival the adulthood of more than 85 % of the affected children. The univentricular repair in total cavopulmonary connection or Fontan procedure, are realized in three stages, now, before the age of 5 years, with a different physiology after each stage. This point makes anaesthetic care more complicated for a non-cardiac surgery. The precise knowledge of the physiology of the "Fontan" is necessary before proceeding with anaesthesia. It allows to anticipate the pitfalls and to define specific strategies to be applied.
在先天性心脏病的儿科和介入心脏病学、影像学、外科手术、麻醉和重症监护领域历经30多年取得的显著进展，使超过85%的患病儿童能够存活至成年。全腔静脉肺动脉连接术或Fontan手术的单心室修复分三个阶段进行，目前是在5岁之前完成，每个阶段之后生理状态有所不同。这使得非心脏手术的麻醉护理更加复杂。在进行麻醉之前，必须准确了解“Fontan”的生理机制。这有助于预见潜在问题并确定应采用的具体策略。
