| 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 |
| Journal | World Neurosurg |
| Date Published | 2019 Nov 09 |
| ISSN | 1878-8769 |
| 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. |
| DOI | 10.1016/j.wneu.2019.11.004 |
| Alternate Journal | World Neurosurg |
| PubMed ID | 31715418 |