Anesthesia management for cesarean delivery in patients with an arterial switch operation: a single center case series (2015–2023)
Authors' conclusion
Neuraxial anesthesia for cesarean delivery in pregnant women with a history of ASO resulted in favorable maternal outcomes with no postoperative cardiac complications.
Study context
- Population
- Pregnant women with a history of arterial switch operation (ASO) for dextro-transposition of the great arteries undergoing cesarean delivery, Tokyo Women's Medical University Hospital, 2015–2023
- Participants
- 10 women · 12 cesarean deliveries
- Outcome
- Anesthesia and perioperative outcomes
Methodological detailssingle-centre, retrospective chart review
- Single-centre
- Retrospective chart review
Main finding
As reported in the abstract
- Neuraxial anesthesia for cesarean delivery
- All patients
- Spinal induced hypotension, immediately treated with vasopressors (cases)
- 4
- Postoperative heart failure or arrhythmias (patients)
- 0
Observational data: associations, not effects.
Further findings
Maternal characteristics at cesarean delivery
- Maternal age, median (range: 26-38) years
- 29
- Gestational age, median (33 weeks and 6 days - 37 weeks and 6 days)
- 37 weeks and 1 day
Cardiac events during pregnancy
- Arrhythmia (paroxysmal supraventricular tachycardia, non-sustained ventricular tachycardia, atrial tachyarrhythmia) (patients)
- 2
- Moderate to severe valvular regurgitation (patients)
- 5
- Valvular regurgitation worsened during pregnancy (patients)
- 3
Safety
Spinal induced hypotension
- Cases, immediately treated with vasopressors
- 4
Postoperative heart failure or arrhythmias
- Patients
- 0
Original publication
Anesthesia management for cesarean delivery in patients with an arterial switch operation: a single center case series (2015–2023). Int J Obstet Anesth. Published 22 November 2024. doi:10.
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