{"paper_id":"f6f181b3-fd31-41af-a625-8c3f4720ccb5","body_text":"Cardiovascular Anesthesia: Case Report\nLaparoscopic Surgery in a Patient with Fontan Physiology\n- Craig D. McClain\n- Francis X. McGowan\n- Pete G. Kovatsis\nLaparoscopic surgery represents a significant advance in surgical technique, but a number of physiologic sequelae result from positioning and insufflation. These physiologic changes may be more significant in patients with complex congenital heart disease. We present the anesthetic management of a patient with Fontan physiology who successfully underwent two separate laparoscopic procedures.\nIMPLICATIONS: Patients who have had complex cardiac surgery as children are now presenting as adults requiring anesthesia. We explored the implications of neonatal cardiac surgery and Fontan physiology in a young adult undergoing laparoscopic surgery.\nCopyright © 2006 International Anesthesia Research Society","source_license":"public-domain-us","license_restricted":false}