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Department of Anesthesiology

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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
ISSN1878-8769
Abstract

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.

DOI10.1016/j.wneu.2019.11.004
Alternate JournalWorld Neurosurg
PubMed ID31715418