Anesthetic Managements for Fontan（Total Cavopulmonary Connection）Patient Undergoing Scoliosis Surgery

Abstract

Anesthetic management of patients with Total Cavopulmonary Connection（TCPC, Fontan circulation）requires strict fluid administration. Here, we report the case of a 13-year-old boy with Fontan circulation who was scheduled to undergo scoliosis surgery. Anesthetic management was conducted using FloTrac and central venous catheter to monitor stroke volume variation（SVV）and central venous pressure（CVP）, respectively. Although temporal hypotension occurred following prone positioning, maintaining high CVP regained preferable hemodynamic states, whereas SVV failed to predict fluid responsiveness. In fluid management for Fontan patients, CVP may be more reliable than SVV.