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How to Make an Easy Case Hard: Managing an Adult with Fontan Physiology and Multisystem Organ Dysfunction for a Peritoneal Dialysis Catheter
How to Make an Easy Case Hard: Managing an Adult with Fontan Physiology and Multisystem Organ Dysfunction for a Peritoneal Dialysis Catheter
Submitted on 01 Jul 2018

Victoria Melanson, M.D. and Vikas O'Reilly-Shah, M.D. Ph.D.
Emory University Department of Anesthesiology
This poster was presented at GSA
Poster Views: 499
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Poster Abstract
Mr. X is a 30 year-old male weighing 64kg with a past medical history of single ventricle physiology, pulmonary hypertension, permanent pacemaker, horseshoe kidney in ESRD, and gout. He is currently under consideration for heart-liver-kidney transplant. Notably, two other referral centers did not feel he was an appropriate candidate for this transplant surgery given his complex history and anatomy. His cardiac history includes a Fontan repair (see below). Baseline SpO2 is 84% on room air. LVEF was 40% on TTE a week prior to surgery. Mr. X presents for a laparoscopic peritoneal dialysis catheter.

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