{
    "abstract": "Parturients with Fontan physiology provide unique and complex challenges to anesthesiologists. Such challenges include the maintenance of a perfect balance between preload, pulmonary vascular resistance, afterload, and cardiac output in a setting of a single ventricle physiology. The physiological changes of pregnancy add additional burden to an already \"fragile\" physiology, making the anesthetic management for labor and/or cesarean delivery even more complex. Understanding the impact of these changes on the Fontan physiology and the effect of anesthetic choices on this dyad (pregnancy-Fontan) is an imperative prior to caring for these patients. In an effort to determine how these patients are best managed for labor and/or cesarean delivery, we have reviewed the literature examining the peripartum anesthetic management of parturients with Fontan circulation and have identified 27 case reports.",
    "authors": [
        {
            "affiliation": "University of Virginia, Charlottesville, VA, USA mt9y@virginia.edu.",
            "firstname": "Mohamed",
            "initials": "M",
            "lastname": "Tiouririne"
        },
        {
            "affiliation": "University of British Columbia, Kelowna, British Columbia, Canada.",
            "firstname": "Duncan G",
            "initials": "DG",
            "lastname": "de Souza"
        },
        {
            "affiliation": "Riverside Methodist Hospital, Columbus, OH, USA.",
            "firstname": "Kevin T",
            "initials": "KT",
            "lastname": "Beers"
        },
        {
            "affiliation": "University of Virginia, Charlottesville, VA, USA.",
            "firstname": "Terrance A",
            "initials": "TA",
            "lastname": "Yemen"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 The Author(s) 2015.",
    "doi": "10.1177/1089253214566887",
    "journal": "Seminars in cardiothoracic and vascular anesthesia",
    "keywords": [
        "Fontan circulation",
        "analgesia",
        "congenital heart disease",
        "high-risk systems",
        "pregnancy"
    ],
    "methods": null,
    "publication_date": "2015-01-15",
    "pubmed_id": "25586083",
    "results": null,
    "title": "Anesthetic Management of Parturients With a Fontan Circulation: A Review of Published Case Reports.",
    "xml": "<Element 'PubmedArticle' at 0x7885061d22a0>"
}