Key result
General anesthesia using fentanyl and ketamine, combined with careful central venous pressure management and cardiac oscillation ventilation, resulted in a successful cesarean delivery without major complications in a patient with a single ventricle and single atrium.
Case Report (n=1)
General anesthesia with careful maintenance of central venous pressure (20-25 mmHg) to ensure pulmonary blood flow is a viable strategy for cesarean section in patients with single ventricle physiology post-Glenn operation.
May support this anesthetic approach in single-ventricle cesarean cases; leaves open need for prospective data before wider adoption.
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Hayashi et al. (1986) conducted a case report in Pregnancy with single atrium and single ventricle after cavo-pulmonary bypass surgery (n=1). General anesthesia with specific hemodynamic management was evaluated on Successful delivery and maternal/fetal outcome. General anesthesia using fentanyl and ketamine, combined with careful central venous pressure management and cardiac oscillation ventilation, resulted in a successful cesarean delivery without major complications in a patient with a single ventricle and single atrium.
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