Anesthesia management for laparoscopic surgery in the Trendelenburg position in a patient with Fontan physiology and severe hypoxemia: a case report.

Shunsuke Okano, Masahiro Kuroki, Shun Abe, Yu Matsuura, Ayuka Narisawa, Hiroaki Toyama

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Article in JA clinical reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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5 · Who and what money

Authors and funding

6 authors.

Shunsuke OkanoDepartment of Anesthesiology, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata, 990-9585, Japan. kiririn365@gmail.com.ORCID http://orcid.org/0009-0001-7162-1010

Masahiro KurokiDepartment of Anesthesiology, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata, 990-9585, Japan.

Shun AbeDepartment of Anesthesiology, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata, 990-9585, Japan.

Yu MatsuuraDepartment of Anesthesiology, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata, 990-9585, Japan.

Ayuka NarisawaDepartment of Anesthesiology, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata, 990-9585, Japan.

Hiroaki ToyamaDepartment of Anesthesiology, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata, 990-9585, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPneumoperitoneum and Trendelenburg positioning are thought to increase pulmonary vascular resistance (PVR). In Fontan circulation, increased PVR is directly related to decreased ventricular preload and can result in circulatory failure. CASE PRESENTATION: A 23-year-old female patient with Fontan physiology was diagnosed with left paraovarian cyst torsion and underwent laparoscopic cystectomy. SpO

conclusionsPatients with Fontan physiology and severe hypoxemia can tolerate short-term laparoscopic surgery in the Trendelenburg position under strict management. In these patients, monitoring ScvO

Indexed as

Case reportFontan physiologyHypoxemiaLaparoscopic surgeryTrendelenburg position

Identifiers

PMID41023349

DOI10.1186/s40981-025-00820-w

PMCPMC12480132

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LicenceCC BY

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.