Key result
Neuraxial anesthesia for Fontan cesareans shows no intraoperative hypotension versus 75% with general anesthesia.
Why the study?
Data on anesthetic management for cesarean delivery in women with Fontan circulation reaching childbearing age remain limited.
Is neuraxial anesthesia safe and feasible compared to general anesthesia in pregnant women with Fontan circulation undergoing cesarean delivery?
Observational (n=13)
No
Is neuraxial anesthesia safe and feasible compared to general anesthesia in pregnant women with Fontan circulation undergoing cesarean delivery?
Both neuraxial and general anesthesia appear feasible for cesarean delivery in women with Fontan circulation, though general anesthesia was associated with more transient intraoperative hypotension.
Answers are grounded in this paper and cite their sources.
Neuraxial anesthesia was associated with no hypotension; leaves open whether it should be preferred in Fontan cesarean deliveries without prospective confirmation.
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Goto et al. (2026) conducted an observational in Fontan circulation in pregnancy (n=13). Neuraxial anesthesia vs. General anesthesia was evaluated on Intraoperative hypotension. Neuraxial anesthesia for cesarean delivery in women with Fontan circulation resulted in 0% intraoperative hypotension compared to 75% with general anesthesia, with no major adverse events.
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