We experienced a case of undiagnosed @entity1911 in an adult @entity1 with single ventricle circulation after the bidirectional Glenn operation. A 32-year-old @entity1 was scheduled for open abdominal surgery for incidental @entity5 . She had undergone the bidirectional Glenn operation for complex congenital @entity299 consisting of double outlet right ventricle, @entity1757 , and @entity849 . She had not undergone the Fontan operation because of insufficient development of @entity358 . Her physical status was New York Heart Association (NYHA) functional class II, and her @entity26 saturation was 80% in room air. She reported no symptoms for the @entity5 preoperatively. The surgery was performed under general and epidural anesthesia. After induction of general anesthesia, she developed @entity101 and @entity591 , and the manipulation of the @entity5 worsened them. @entity23893 , a short acting beta blocker, and @entity3360 were administrated. After the resection of the @entity5 , @entity551 refractory to volume replacement emerged, and we administrated low dose @entity1063 . She was extubated in'the operating room and was transferred to the intensive care unit. The histopathological examination of the @entity5 revealed @entity1911 ( @entity1823 ). @entity5733 release from @entity1911 can be dangerous in @entity1 with single ventricular circulation because it may elevate pulmonary resistance and thereby decrease cardiac output. Thorough preoperative examination is desirable.

[A Case of Undiagnosed @entity1911 in an Adult XXXX with Single Ventricle Circulation after the Bidirectional Glenn Operation].

@entity1 :: ('9606', 'Species') :: ['patient', 'woman', 'patients'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity5733 :: ('D002395', 'Chemical') :: ['Catecholamine'] @entity1911 :: ('MESH:D010673', 'Disease') :: ['pheochromocytoma', 'extra-adrenal pheochromocytoma'] @entity5 :: ('MESH:D009369', 'Disease') :: ['abdominal tumor', 'tumor', 'retroperitoneal tumor'] @entity26 :: ('MESH:D010100', 'Chemical') :: ['oxygen'] @entity1757 :: ('MESH:D006345', 'Disease') :: ['ventricular septal defect'] @entity3360 :: ('MESH:D009529', 'Chemical') :: ['nicardipine'] @entity591 :: ('MESH:D013610', 'Disease') :: ['tachycardia'] @entity1823 :: ('MESH:D010235', 'Disease') :: ['paraganglioma'] @entity849 :: ('MESH:D011666', 'Disease') :: ['pulmonary artery stenosis'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary circulation'] @entity299 :: ('MESH:D006331', 'Disease') :: ['heart disease'] @entity23893 :: ('MESH:C077049', 'Chemical') :: ['Landiolol'] @entity1063 :: ('MESH:D009638', 'Chemical') :: ['noradrenaline'] @entity551 :: ('MESH:D007022', 'Disease') :: ['hypotension']
@entity1 :: (9606,Species) :: ['Patient']
