del Pozo D, Sala-Blanch X, Fita G, de José María B, Nalda M A
Department of Anesthesiology, Reanimation, and Pain Therapy, Hospital Clínic i Provincial de Barcelona, Spain.
Reg Anesth. 1995 Sep-Oct;20(5):452-4.
Single ventricle is a complex congenital cardiopathy characterized by a unit ventricular chamber. Changes of the cardiovascular system in response to epidural anesthesia in these patients have yet to be clearly elucidated.
A 26-year-old man with single ventricle underwent an orchiopexy under lumbar epidural anesthesia with intravenous sedation.
Orchiopexy was successfully performed and the patient was discharged from hospital 4 days later.
This case report emphasizes the issues of importance to anesthesiologists in regard to this cardiopathy and describes a successful technique of caring for a patient with a complex problem in an emergency situation.