{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:00:14Z","timestamp":1755216014972,"version":"3.43.0"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,3]]},"DOI":"10.7759\/cureus.89274","type":"journal-article","created":{"date-parts":[[2025,8,3]],"date-time":"2025-08-03T12:44:03Z","timestamp":1754225043000},"source":"Crossref","is-referenced-by-count":0,"title":["Anaesthetic Management of One-Lung Ventilation in a Fontan Patient"],"prefix":"10.7759","author":[{"given":"Richard","family":"Coulie","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francis","family":"Ryckaert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evgeny","family":"Raevsky","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor","family":"Tsang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Wright","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.26.3.240","article-title":"Surgical repair of tricuspid atresia","volume":"26","author":"Fontan F","year":"1971","unstructured":"Fontan F, Baudet E. Surgical repair of tricuspid atresia. Thorax. 1971, 26:240-8. 10.1136\/thx.26.3.240","journal-title":"Thorax"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2016.05.035","article-title":"The Fontan epidemic: population projections from the Australia and New Zealand Fontan Registry","volume":"219","author":"Schilling C","year":"2016","unstructured":"Schilling C, Dalziel K, Nunn R, et al.. The Fontan epidemic: population projections from the Australia and New Zealand Fontan Registry. Int J Cardiol. 2016, 219:14-9. 10.1016\/j.ijcard.2016.05.035","journal-title":"Int J Cardiol"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2022.04.017","article-title":"Considerations in critical-care and anesthetic management of adult patients living with Fontan circulation","volume":"38","author":"Neethling E","year":"2022","unstructured":"Neethling E, Heggie JE. Considerations in critical-care and anesthetic management of adult patients living with Fontan circulation. Can J Cardiol. 2022, 38:1100-10. 10.1016\/j.cjca.2022.04.017","journal-title":"Can J Cardiol"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00540-012-1333-6","article-title":"Successful one-lung ventilation in a patient with the Fontan circulation undergoing thoracotomy: a case report","volume":"26","author":"Majima N","year":"2012","unstructured":"Majima N, Kagawa T, Suzuki T, Kurosaki A. Successful one-lung ventilation in a patient with the Fontan circulation undergoing thoracotomy: a case report. J Anesth. 2012, 26:453-5. 10.1007\/s00540-012-1333-6","journal-title":"J Anesth"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1177\/1089253214542252","article-title":"Successful one-lung ventilation in a patient with the Fontan circulation undergoing thoracoscopic procedure","volume":"18","author":"Cvetkovic D","year":"2014","unstructured":"Cvetkovic D, Ramzy W, Vitale S, Malekan R, Warsy I. Successful one-lung ventilation in a patient with the Fontan circulation undergoing thoracoscopic procedure. Semin Cardiothorac Vasc Anesth. 2014, 18:379-81. 10.1177\/1089253214542252","journal-title":"Semin Cardiothorac Vasc Anesth"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1213\/XAA.0000000000000377","article-title":"Management of 1-lung ventilation in a patient with failing Fontan circulation","volume":"7","author":"Gregory SH","year":"2016","unstructured":"Gregory SH, Swaminathan M, Maisonave Y, Machovec KA. Management of 1-lung ventilation in a patient with failing Fontan circulation. A A Case Rep. 2016, 7:177-80. 10.1213\/XAA.0000000000000377","journal-title":"A A Case Rep"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1186\/s40981-019-0270-x","article-title":"One-lung ventilation in a patient with Fontan circulation undergoing diaphragmatic plication surgery: a case report","volume":"5","author":"Sasaki Y","year":"2019","unstructured":"Sasaki Y, Kato J, Minoshima R, Nagata H, Minamishima S, Suzuki T, Morisaki H. One-lung ventilation in a patient with Fontan circulation undergoing diaphragmatic plication surgery: a case report. JA Clin Rep. 2019, 5:50. 10.1186\/s40981-019-0270-x","journal-title":"JA Clin Rep"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.64391","article-title":"Anesthetic management of thoracoscopic pulmonary cystectomy in a patient with Fontan circulation and disturbed lung inflation during leakage testing: a case report","volume":"16","author":"Higashi A","year":"2024","unstructured":"Higashi A, Kinoshita M, Sudo K, Ueno H, Sawa T. Anesthetic management of thoracoscopic pulmonary cystectomy in a patient with Fontan circulation and disturbed lung inflation during leakage testing: a case report. Cureus. 2024, 16:e64391. 10.7759\/cureus.64391","journal-title":"Cureus"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.70353","article-title":"Safe anesthetic management of one-lung ventilation in an adolescent patient with Fontan circulation: a case report","volume":"16","author":"Kawakami M","year":"2024","unstructured":"Kawakami M, Ito H, Takazawa T. Safe anesthetic management of one-lung ventilation in an adolescent patient with Fontan circulation: a case report. Cureus. 2024, 16:e70353. 10.7759\/cureus.70353","journal-title":"Cureus"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.76407","article-title":"Anesthesia management for epicardial pacemaker electrode implantation in a patient with a history of Fontan procedure: a case report","volume":"16","author":"Hibino T","year":"2024","unstructured":"Hibino T, Okui Y, Toba Y. Anesthesia management for epicardial pacemaker electrode implantation in a patient with a history of Fontan procedure: a case report. Cureus. 2024, 16:e76407. 10.7759\/cureus.76407","journal-title":"Cureus"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivx379","article-title":"Lateral thoracotomy for epicardial pacemaker placement in patients with congenital heart disease","volume":"26","author":"Haight PJ","year":"2018","unstructured":"Haight PJ, Stewart RE, Saarel EV, Pettersson GB, Najm HK, Aziz PF. Lateral thoracotomy for epicardial pacemaker placement in patients with congenital heart disease. Interact Cardiovasc Thorac Surg. 2018, 26:845-51. 10.1093\/icvts\/ivx379","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000602","article-title":"2018 AHA\/ACC guideline for the management of adults with congenital heart disease: executive summary: a report of the American College of Cardiology\/American Heart Association Task Force on clinical practice guidelines","volume":"139","author":"Stout KK","year":"2019","unstructured":"Stout KK, Daniels CJ, Aboulhosn JA, et al.. 2018 AHA\/ACC guideline for the management of adults with congenital heart disease: executive summary: a report of the American College of Cardiology\/American Heart Association Task Force on clinical practice guidelines. Circulation. 2019, 139:e637-97. 10.1161\/CIR.0000000000000602","journal-title":"Circulation"},{"key":"ref13","doi-asserted-by":"crossref","DOI":"10.1016\/S0022-5223(19)38412-0","article-title":"Hemodynamic response to positive end-expiratory pressure following right atrium-pulmonary artery bypass (Fontan procedure)","volume":"87","author":"Williams DB","year":"1984","unstructured":"Williams DB, Kiernan PD, Metke MP, Marsh HM, Danielson GK. Hemodynamic response to positive end-expiratory pressure following right atrium-pulmonary artery bypass (Fontan procedure). J Thorac Cardiovasc Surg. 1984, 87:856-61.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.00903.2004","article-title":"Two temporal components within the human pulmonary vascular response to approximately 2 h of isocapnic hypoxia","volume":"98","author":"Talbot NP","year":"2005","unstructured":"Talbot NP, Balanos GM, Dorrington KL, Robbins PA. Two temporal components within the human pulmonary vascular response to approximately 2 h of isocapnic hypoxia. J Appl Physiol (1985). 2005, 98:1125-39. 10.1152\/japplphysiol.00903.2004","journal-title":"J Appl Physiol (1985)"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1378\/chest.109.5.1215","article-title":"Effects of hypercapnia on hemodynamic, inotropic, lusitropic, and electrophysiologic indices in humans","volume":"109","author":"Kiely DG","year":"1996","unstructured":"Kiely DG, Cargill RI, Lipworth BJ. Effects of hypercapnia on hemodynamic, inotropic, lusitropic, and electrophysiologic indices in humans. Chest. 1996, 109:1215-21. 10.1378\/chest.109.5.1215","journal-title":"Chest"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000001452","article-title":"Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures. An updated report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration","volume":"126","year":"2017","unstructured":"Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration. application to healthy patients undergoing elective procedures. An updated report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration. Anesthesiology. 2017, 126:376-93. 10.1097\/ALN.0000000000001452","journal-title":"Anesthesiology"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/86.1.38","article-title":"Effects of sevoflurane and propofol on pulmonary shunt fraction during one-lung ventilation for thoracic surgery","volume":"86","author":"Beck DH","year":"2001","unstructured":"Beck DH, Doepfmer UR, Sinemus C, Bloch A, Schenk MR, Kox WJ. Effects of sevoflurane and propofol on pulmonary shunt fraction during one-lung ventilation for thoracic surgery. Br J Anaesth. 2001, 86:38-43. 10.1093\/bja\/86.1.38","journal-title":"Br J Anaesth"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aem039","article-title":"Effects of propofol vs sevoflurane on arterial oxygenation during one-lung ventilation","volume":"98","author":"Pruszkowski O","year":"2007","unstructured":"Pruszkowski O, Dalibon N, Moutafis M, Jugan E, Law-Koune JD, Lalo\u00eb PA, Fischler M. Effects of propofol vs sevoflurane on arterial oxygenation during one-lung ventilation. Br J Anaesth. 2007, 98:539-44. 10.1093\/bja\/aem039","journal-title":"Br J Anaesth"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8091438","article-title":"Systemic oxygen delivery during one-lung ventilation: comparison between propofol and sevoflurane anaesthesia in a randomised controlled trial","volume":"8","author":"Hahm TS","year":"2019","unstructured":"Hahm TS, Jeong H, Ahn HJ. Systemic oxygen delivery during one-lung ventilation: comparison between propofol and sevoflurane anaesthesia in a randomised controlled trial. J Clin Med. 2019, 8:1438. 10.3390\/jcm8091438","journal-title":"J Clin Med"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/81.6.850","article-title":"Comparison of the effects of sevoflurane and isoflurane on arterial oxygenation during one lung ventilation","volume":"81","author":"Wang JY","year":"1998","unstructured":"Wang JY, Russell GN, Page RD, Jackson M, Pennefather SH. Comparison of the effects of sevoflurane and isoflurane on arterial oxygenation during one lung ventilation. Br J Anaesth. 1998, 81:850-3. 10.1093\/bja\/81.6.850","journal-title":"Br J Anaesth"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2010.12.003","article-title":"The adult with Fontan physiology: systematic approach to perioperative management for noncardiac surgery","volume":"25","author":"Eagle SS","year":"2011","unstructured":"Eagle SS, Daves SM. The adult with Fontan physiology: systematic approach to perioperative management for noncardiac surgery. J Cardiothorac Vasc Anesth. 2011, 25:320-34. 10.1053\/j.jvca.2010.12.003","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2009.07.018","article-title":"Single-ventricle patient: pathophysiology and anesthetic management","volume":"24","author":"Leyvi G","year":"2010","unstructured":"Leyvi G, Wasnick JD. Single-ventricle patient: pathophysiology and anesthetic management. J Cardiothorac Vasc Anesth. 2010, 24:121-30. 10.1053\/j.jvca.2009.07.018","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2021.04.021","article-title":"Perioperative management of the Fontan patient for cardiac and noncardiac surgery","volume":"36","author":"McNamara JR","year":"2022","unstructured":"McNamara JR, McMahon A, Griffin M. Perioperative management of the Fontan patient for cardiac and noncardiac surgery. J Cardiothorac Vasc Anesth. 2022, 36:275-85. 10.1053\/j.jvca.2021.04.021","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2017.04.003","article-title":"Fontan palliation for single-ventricle physiology: perioperative management for noncardiac surgery and analysis of outcomes","volume":"31","author":"Windsor J","year":"2017","unstructured":"Windsor J, Townsley MM, Briston D, Villablanca PA, Alegria JR, Ramakrishna H. Fontan palliation for single-ventricle physiology: perioperative management for noncardiac surgery and analysis of outcomes. J Cardiothorac Vasc Anesth. 2017, 31:2296-303. 10.1053\/j.jvca.2017.04.003","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(95)92681-x","article-title":"Rebound pulmonary hypertension on withdrawal from inhaled nitric oxide","volume":"346","author":"Miller O I","year":"1995","unstructured":"Miller O I, Tang S F, Keech A, Celermajer DS. Rebound pulmonary hypertension on withdrawal from inhaled nitric oxide. Lancet. 1995, 346:51-2. 10.1016\/s0140-6736(95)92681-x","journal-title":"Lancet"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000000430","article-title":"Vasoconstrictor responses to vasopressor agents in human pulmonary and radial arteries: an in vitro study","volume":"121","author":"Currigan DA","year":"2014","unstructured":"Currigan DA, Hughes RJ, Wright CE, Angus JA, Soeding PF. Vasoconstrictor responses to vasopressor agents in human pulmonary and radial arteries: an in vitro study. Anesthesiology. 2014, 121:930-6. 10.1097\/ALN.0000000000000430","journal-title":"Anesthesiology"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2019.06.053","article-title":"Safety and efficacy of vasopressin after Fontan completion: a randomized pilot study","volume":"108","author":"Bigelow AM","year":"2019","unstructured":"Bigelow AM, Ghanayem NS, Thompson NE, et al.. Safety and efficacy of vasopressin after Fontan completion: a randomized pilot study. Ann Thorac Surg. 2019, 108:1865-74. 10.1016\/j.athoracsur.2019.06.053","journal-title":"Ann Thorac Surg"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1111\/chd.12662","article-title":"Hemodynamic effects of ketamine in children with congenital heart disease and\/or pulmonary hypertension","volume":"13","author":"Loomba RS","year":"2018","unstructured":"Loomba RS, Gray SB, Flores S. Hemodynamic effects of ketamine in children with congenital heart disease and\/or pulmonary hypertension. Congenit Heart Dis. 2018, 13:646-54. 10.1111\/chd.12662","journal-title":"Congenit Heart Dis"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1038\/clpt.1981.229","article-title":"Short-term effects of intravenous clonidine in congestive heart failure","volume":"30","author":"Giles TD","year":"1981","unstructured":"Giles TD, Iteld BJ, Mautner RK, Rognoni PA, Dillenkoffer RL. Short-term effects of intravenous clonidine in congestive heart failure. Clin Pharmacol Ther. 1981, 30:724-8. 10.1038\/clpt.1981.229","journal-title":"Clin Pharmacol Ther"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2008.05.014","article-title":"Nitric oxide and milrinone: combined effect on pulmonary circulation after Fontan-type procedure: a prospective, randomized study","volume":"86","author":"Cai J","year":"2008","unstructured":"Cai J, Su Z, Shi Z, Zhou Y, Xu Z, Xu Z, Yang Y. Nitric oxide and milrinone: combined effect on pulmonary circulation after Fontan-type procedure: a prospective, randomized study. Ann Thorac Surg. 2008, 86:882-8; discussion 882-8. 10.1016\/j.athoracsur.2008.05.014","journal-title":"Ann Thorac Surg"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1177\/2150135117731725","article-title":"The perspective of the intensivist on inotropes and postoperative care following pediatric heart surgery: an international survey and systematic review of the literature","volume":"9","author":"Roeleveld PP","year":"2018","unstructured":"Roeleveld PP, de Klerk JC. The perspective of the intensivist on inotropes and postoperative care following pediatric heart surgery: an international survey and systematic review of the literature. World J Pediatr Congenit Heart Surg. 2018, 9:10-21. 10.1177\/2150135117731725","journal-title":"World J Pediatr Congenit Heart Surg"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.17094","article-title":"Failing Fontan cardiovascular support: review","volume":"37","author":"Zwischenberger JB","year":"2022","unstructured":"Zwischenberger JB, Breetz KA, Ballard-Croft C, Wang D. Failing Fontan cardiovascular support: review. J Card Surg. 2022, 37:5257-61. 10.1111\/jocs.17094","journal-title":"J Card Surg"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1111\/chd.12188","article-title":"Factors contributing to adverse perioperative events in adults with congenital heart disease: a structured analysis of cases from the closed claims project","volume":"10","author":"Maxwell BG","year":"2015","unstructured":"Maxwell BG, Posner KL, Wong JK, Oakes DA, Kelly NE, Domino KB, Ramamoorthy C. Factors contributing to adverse perioperative events in adults with congenital heart disease: a structured analysis of cases from the closed claims project. Congenit Heart Dis. 2015, 10:21-9. 10.1111\/chd.12188","journal-title":"Congenit Heart Dis"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/390503-anaesthetic-management-of-one-lung-ventilation-in-a-fontan-patient","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,3]],"date-time":"2025-08-03T12:44:03Z","timestamp":1754225043000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/390503-anaesthetic-management-of-one-lung-ventilation-in-a-fontan-patient"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,3]]},"references-count":33,"URL":"https:\/\/doi.org\/10.7759\/cureus.89274","relation":{},"ISSN":["2168-8184"],"issn-type":[{"type":"print","value":"2168-8184"}],"subject":[],"published":{"date-parts":[[2025,8,3]]}}}