Background and Objectives. Single ventricle is a complex congenital ca
rdiopathy characterized by a unit ventricular chamber. Changes of the
cardiovascular system in response to epidural anesthesia in these pati
ents have yet to be clearly elucidated. Methods. A 26-year-old man wit
h single ventricle underwent an orchiopexy under lumbar epidural anest
hesia with intravenous sedation. Results. Orchiopexy was successfully
performed and the patient was discharged from hospital 4 days later. C
onclusion. This case report emphasizes the issues of importance to ane
sthesiologists in regard to this cardiopathy and describes a successfu
l technique of caring for a patient with a complex problem in an emerg
ency situation.