法洛四联症患者进行电生理检查和导管消融术的麻醉管理。
Anaesthetic management of a patient with Fontan physiology for electrophysiology study and catheter ablation.
作者信息
Lim Denise Yan Yin, Suhitharan Thangavelautham, Kothandan Harikrishnan
机构信息
Department of Anaesthesia, Singapore General Hospital, Singapore.
出版信息
BMJ Case Rep. 2019 Mar 31;12(3):e228520. doi: 10.1136/bcr-2018-228520.
Abstract
The success of the Fontan procedure for congenital single ventricle anatomy has resulted in adult patients with Fontan physiology requiring anaesthesia for cardiac and non-cardiac procedures. We present the perioperative management of a patient with Fontan physiology who underwent electrophysiological study with radiofrequency ablation for atrial tachycardia under general anaesthesia. Good communication between the multidisciplinary teams, a detailed understanding of the patient's complex cardiac anatomy and physiology, as well as the ability to recognise and manage perioperative complications all play a vital role for a successful outcome.
摘要
对于先天性单心室解剖结构，Fontan手术的成功使得患有Fontan生理状态的成年患者在进行心脏和非心脏手术时需要麻醉。我们介绍了一名患有Fontan生理状态的患者在全身麻醉下接受心房心动过速的电生理研究及射频消融术的围手术期管理。多学科团队之间的良好沟通、对患者复杂心脏解剖结构和生理状态的详细了解，以及识别和处理围手术期并发症的能力，对于取得成功的结果都起着至关重要的作用。
相似文献
1
Anaesthetic management of a patient with Fontan physiology for electrophysiology study and catheter ablation.法洛四联症患者进行电生理检查和导管消融术的麻醉管理。
BMJ Case Rep. 2019 Mar 31;12(3):e228520. doi: 10.1136/bcr-2018-228520.
2
Atrial tachycardia ablation in patients with a functional single ventricle after the Fontan surgery.Fontan手术后功能性单心室患者的房性心动过速消融术
Kardiol Pol. 2016;74(8):762-771. doi: 10.5603/KP.a2015.0214. Epub 2015 Nov 17.
3
Evolving anatomic and electrophysiologic considerations associated with Fontan conversion.与Fontan转换相关的不断演变的解剖学和电生理学考量。
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2007:136-45. doi: 10.1053/j.pcsu.2007.01.018.
4
Fontan Palliation for Single-Ventricle Physiology: Perioperative Management for Noncardiac Surgery and Analysis of Outcomes.单心室生理的Fontan姑息治疗：非心脏手术的围手术期管理及结果分析
J Cardiothorac Vasc Anesth. 2017 Dec;31(6):2296-2303. doi: 10.1053/j.jvca.2017.04.003. Epub 2017 Jul 31.
5
The Effects of Modification to Lateral Tunnel Fontan Procedure for Prophylactic Arrhythmia Surgery.用于预防性心律失常手术的侧隧道Fontan手术改良的效果
Ann Thorac Surg. 2017 Jul;104(1):197-204. doi: 10.1016/j.athoracsur.2016.11.033. Epub 2017 Apr 25.
6
Anaesthetic management of a patient with complex, cyanotic congenitally corrected transposition of great arteries for electrophysiological study and thermoablation.对一名患有复杂型、青紫型先天性矫正型大动脉转位的患者进行麻醉管理，以进行电生理研究和热消融治疗。
BMJ Case Rep. 2022 Apr 15;15(4):e247265. doi: 10.1136/bcr-2021-247265.
7
How to perform catheter ablation of atrial tachyarrhythmia after the Fontan operation.在Fontan手术后如何进行房性快速心律失常的导管消融术。
Heart Rhythm. 2023 Jul;20(7):1048-1054. doi: 10.1016/j.hrthm.2023.03.023. Epub 2023 Mar 22.
8
Beyond Fontan conversion: Surgical therapy of arrhythmias including patients with associated complex congenital heart disease.超越Fontan转换术：心律失常的外科治疗，包括合并复杂先天性心脏病的患者。
Ann Thorac Surg. 2003 Aug;76(2):542-53; discussion 553-4. doi: 10.1016/s0003-4975(03)00469-7.
9
A Retrospective Analysis of the Influence of Ventricular Morphology on the Perioperative Outcomes After Fontan Surgery.Fontan手术前后心室形态对围手术期结局影响的回顾性分析
J Cardiothorac Vasc Anesth. 2017 Feb;31(1):128-133. doi: 10.1053/j.jvca.2016.07.024. Epub 2016 Jul 19.
10
Radiofrequency catheter ablation of tachycardia in children with and without congenital heart disease: indications and limitations.有和无先天性心脏病儿童心动过速的射频导管消融：适应证与局限性
Int J Cardiol. 2000 Feb 15;72(3):221-7. doi: 10.1016/s0167-5273(99)00183-7.
引用本文的文献
1
Fontan-Associated Liver Disease: Screening, Management, and Transplant Considerations.Fontan 相关肝疾病：筛查、管理和移植考虑因素。
Circulation. 2020 Aug 11;142(6):591-604. doi: 10.1161/CIRCULATIONAHA.120.045597. Epub 2020 Aug 10.
本文引用的文献
1
Sedation in the Electrophysiology Laboratory: A Multidisciplinary Review.电生理实验室中的镇静：多学科综述。
J Am Heart Assoc. 2016 Jun 13;5(6):e003629. doi: 10.1161/JAHA.116.003629.
2
Bridging Anticoagulation: Primum Non Nocere.桥接抗凝：首要原则是不造成伤害。
J Am Coll Cardiol. 2015 Sep 22;66(12):1392-403. doi: 10.1016/j.jacc.2015.08.002.
3
Redefining expectations of long-term survival after the Fontan procedure: twenty-five years of follow-up from the entire population of Australia and New Zealand.重新定义法乐四联症根治术后长期生存的预期：来自澳大利亚和新西兰全部人群的 25 年随访结果。
Circulation. 2014 Sep 9;130(11 Suppl 1):S32-8. doi: 10.1161/CIRCULATIONAHA.113.007764.
4
Prevalence of arrhythmias late after the Fontan operation.Fontan 手术后晚期心律失常的发生率。
Am J Cardiol. 2014 Apr 1;113(7):1184-8. doi: 10.1016/j.amjcard.2013.12.025. Epub 2014 Jan 14.
5
Transbaffle mapping and ablation for atrial tachycardias after mustard, senning, or Fontan operations.Mustard、Senning 或 Fontan 手术后房性心动过速的经隔旁路标测和消融。
J Am Heart Assoc. 2013 Sep 19;2(5):e000325. doi: 10.1161/JAHA.113.000325.
6
The adult with Fontan physiology: systematic approach to perioperative management for noncardiac surgery.患有Fontan循环生理的成年人：非心脏手术围手术期管理的系统方法
J Cardiothorac Vasc Anesth. 2011 Apr;25(2):320-34. doi: 10.1053/j.jvca.2010.12.003.
7
General anesthesia reduces the prevalence of pulmonary vein reconnection during repeat ablation when compared with conscious sedation: results from a randomized study.与清醒镇静相比，全身麻醉可降低重复消融时肺静脉再连接的发生率：一项随机研究的结果。
Heart Rhythm. 2011 Mar;8(3):368-72. doi: 10.1016/j.hrthm.2010.10.043. Epub 2010 Nov 2.
8
Arrhythmia burden in adults with surgically repaired tetralogy of Fallot: a multi-institutional study.成人法洛四联症根治术后心律失常负担：一项多机构研究。
Circulation. 2010 Aug 31;122(9):868-75. doi: 10.1161/CIRCULATIONAHA.109.928481. Epub 2010 Aug 16.
9
Transcatheter ablation of arrhythmias associated with congenital heart disease.先天性心脏病相关心律失常的经导管消融治疗
J Interv Card Electrophysiol. 2008 Aug;22(2):161-6. doi: 10.1007/s10840-007-9198-6. Epub 2008 Mar 5.
10
Long-term results of the Fontan operation.Fontan手术的长期结果。
Pediatr Cardiol. 2007 Nov-Dec;28(6):438-42. doi: 10.1007/s00246-007-9003-4.
Zotero 插件