We are seeing patients in-person and through Video Visits. Learn more about how we’re keeping you safe and please review our updated visitor policy. Please also consider supporting Weill Cornell Medicine’s efforts to support our front-line workers.
Department of Anesthesiology

You are here

Scoliosis correction with one ventricle: A multispecialty approach.

TitleScoliosis correction with one ventricle: A multispecialty approach.
Publication TypeJournal Article
Year of Publication2019
AuthorsBustillo MA, Hussain I, Virk MS, Fu K-M, Scharoun JH
JournalWorld Neurosurg
Date Published2019 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 JournalWorld Neurosurg
PubMed ID31715418