Laparoscopic surgery in a patient with Fontan physiology

Craig D McClain, McClain CD, Francis X McGowan, McGowan FX, Kovatsis PG, Pete G Kovatsis
Anesthesia and analgesia · 2006 · vol. 103(4) , pp. 856–8 · doi:10.1213/01.ane.0000237294.88298.8e · PMID:17000793
Case report OA: closed public-domain-us
Full text JSON View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-08-06 ⓘ

This paper describes the successful anesthetic management of a patient with Fontan physiology undergoing two separate laparoscopic procedures.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by qwen3.7-flash, 2026-09-07 · read from full text ⓘ

This case report details the anesthetic management of a young adult with Fontan physiology who successfully underwent two separate laparoscopic procedures. The authors highlight that while laparoscopy offers surgical advantages, the physiologic changes from positioning and insufflation pose significant risks for patients with complex congenital heart disease. The study emphasizes the growing clinical need to address the specific anesthesia implications for adults who received neonatal cardiac surgery as children. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Laparoscopic 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.
Full text 860 characters · extracted from oa-doi-fallback · click to expand
Cardiovascular Anesthesia: Case Report Laparoscopic Surgery in a Patient with Fontan Physiology - Craig D. McClain - Francis X. McGowan - Pete G. Kovatsis Laparoscopic 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. IMPLICATIONS: 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. Copyright © 2006 International Anesthesia Research Society

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosis

MeSH descriptors

Heart Defects, Congenital Laparoscopy Adolescent Adolescent Adult Adult Cholecystectomy, Laparoscopic Cholecystectomy, Laparoscopic Endometriosis Endometriosis Endometriosis Female Female Heart Defects, Congenital Heart Defects, Congenital Humans Humans Laparoscopy Laparoscopy

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. The paper's references may be in our DB but unresolved to ``paper_id`` (resolution happens at ingest when the cited DOI matches a row we already have). Run the cross-source citation reconcile pass to retry.

Source provenance

europepmc
last seen: 2026-10-25T09:32:14.900964+00:00
pubmed
last seen: 2026-10-08T21:03:58.311020+00:00
unpaywall
last seen: 2026-05-14T19:30:52.867331+00:00
License: public-domain-us · commercial use OK · attribution required
Courtesy of the U.S. National Library of Medicine