title: Combined spinal-epidural anesthesia for urgent cesarean section in a parturient with a single ventricle: a case report.
abstract: The number of women with major congenital heart defects reaching reproductive age is likely increasing. We herein describe the anesthetic management of a 33-year-old woman at 37 gestational weeks with a history of Glenn surgery who was undergoing an urgent cesarean section due to pathological cardiotocography. Combined spinal-epidural anesthesia was the most suitable technique for urgent cesarean section in our patient with a single ventricle and phasic flow in the pulmonary artery because it provided rapid-onset anesthesia with negligible hemodynamic effects.
authors.affiliation: Department of Anesthesiology and Intensive Care, Sacro Cuore Catholic University, Rome, Italy.
authors.forename: Stefano
authors.identifier: 0000-0002-3466-6527
authors.initials: S
authors.lastname: Catarci
authors.affiliation: Department of Anesthesiology and Intensive Care, Sacro Cuore Catholic University, Rome, Italy.
authors.forename: Fabio
authors.initials: F
authors.lastname: Sbaraglia
authors.affiliation: Department of Anesthesiology and Intensive Care, Sacro Cuore Catholic University, Rome, Italy.
authors.forename: Bruno Antonio
authors.initials: BA
authors.lastname: Zanfini
authors.affiliation: Department of Anesthesiology and Intensive Care, Sacro Cuore Catholic University, Rome, Italy.
authors.forename: Salvatore
authors.initials: S
authors.lastname: Vagnoni
authors.affiliation: Department of Anesthesiology and Intensive Care, Sacro Cuore Catholic University, Rome, Italy.
authors.forename: Luciano
authors.initials: L
authors.lastname: Frassanito
authors.affiliation: Department of Anesthesiology and Intensive Care, Sacro Cuore Catholic University, Rome, Italy.
authors.forename: Gaetano
authors.initials: G
authors.lastname: Draisci
keywords: Glenn circulation; Major congenital heart defect; Obstetric anesthesia