Grunwald Z, Friedman L, Hirsch R, Doron K
Department of Anesthesiology, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.
Isr J Med Sci. 1997 Nov;33(11):749-51.
We describe the obstetric anesthetic management of a patient with complex congenital heart anomaly consisting of transposed great arteries, double inlet left ventricle and subpulmonic stenosis. Successful management of a patient with Fontan physiology mandates a thorough understanding of the hemodynamic consequences of this procedure and the alterations during pregnancy. The major considerations are related to the fact that the systemic venous return reaches the pulmonary vasculature without the augmentation of a functioning ventricle.
我们描述了一名患有复杂先天性心脏畸形患者的产科麻醉管理情况，该畸形包括大动脉转位、左心室双入口和肺动脉瓣下狭窄。成功管理一名具有Fontan循环生理的患者需要全面了解该手术的血流动力学后果以及孕期的变化。主要考虑因素与以下事实有关：体静脉回流在没有功能正常心室增强作用的情况下进入肺循环系统。
