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Anaesthetic management of a patient with Fontan physiology for electrophysiology study and catheter ablation
  1. Denise Yan Yin Lim,
  2. Thangavelautham Suhitharan and
  3. Harikrishnan Kothandan
  1. Department of Anaesthesia, Singapore General Hospital, Singapore
  1. Correspondence to Dr Thangavelautham Suhitharan, suhitharan.thangavelautham{at}


The success of the Fontan procedure for congenital single ventricle anatomy has resulted in adult patients with Fontan physiology requiring anaesthesia for cardiac and non-cardiac procedures. We present the perioperative management of a patient with Fontan physiology who underwent electrophysiological study with radiofrequency ablation for atrial tachycardia under general anaesthesia. Good communication between the multidisciplinary teams, a detailed understanding of the patient’s complex cardiac anatomy and physiology, as well as the ability to recognise and manage perioperative complications all play a vital role for a successful outcome.

  • pacing and electrophysiology
  • anaesthesia
  • arrhythmias
  • interventional cardiology

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  • Contributors DYYL and HK took care of the patient and wrote the manuscript. TS contributed to the writing and reviewing of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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