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Transl Gastroenterol Hepatol. 2018 Aug 2;3:51. doi: 10.21037/tgh.2018.07.10. eCollection 2018.

Left hepatectomy in a patient with a Fontan circulation.

Author information

Department of Anaesthesiology, The University of Hong Kong, Hong Kong, China.
Department of Surgery, The University of Hong Kong, Hong Kong, China.


Patients with a Fontan circulation face the long term risk of cardiac cirrhosis and the subsequent development of hepatocellular carcinoma (HCC). A hepatectomy operation imposes significant risk on such patients as the Fontan circulation can be severely compromised. Here we present a 24-year-old woman post-Fontan operation who successfully underwent a left hepatectomy, and discuss the anaesthetic and surgical management.


Hepatocellular carcinoma (HCC); Pringle maneuver; cirrhosis; inflow control; liver cancer; survival analysis

Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

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