No abstract

We report a case of two consecutive pregnancies in a patient where a Fontan connection, a cardiac procedure used since 1971 to provide palliation for patients that cannot support a biventricular circulation was used. Here we analyze the anesthesiological and obstetrical aspects particularly regarding some cardiovascular problems that occurred during the pregnancy and delivery.

A 57-year-old man, homeless was taken to the Emergency Department (ED) after a history of three day of fever (39°C) cough and purulent expectoration. He presented alcohol abuse, and untreated chronic obstructive pulmonary diseases. Later he was transferred to Respiratory Sub-ICU. At admission to Respiratory Sub-ICU, vital signs were: breathing frequency 38 m',