|Title||Scoliosis correction with one ventricle: A multispecialty approach.|
|Publication Type||Journal Article|
|Year of Publication||2019|
|Authors||Bustillo MA, Hussain I, Virk MS, Fu K-M, Scharoun JH|
|Date Published||2019 Nov 09|
BACKGROUND: Patients with single ventricle congenital heart disease may present for scoliosis correction. These patients undergo a series of cardiac operations which create a novel circulation that has significant impact on the management of their spinal surgery.
CASE DESCRIPTION: A 21-year-old man with severe scoliosis presented for posterior T4 to L3 spinal fusion. He was born with complex congenital heart disease which resulted in his having a single functioning ventricle. He underwent a series of operations culminating in a Fontan procedure to palliate his heart disease. We describe how both the surgical procedure and anesthetic plan were modified based on his abnormal physiology which led to a successful correction with no complications.
CONCLUSIONS: Patients who have undergone a Fontan procedure can successfully undergo a lengthy scoliosis correction, but it requires multidisciplinary planning.
|Alternate Journal||World Neurosurg|