Anesthetic Management for Cesarean Delivery in Women with Fontan Circulation: A Single-Center Retrospective Observational Study
Authors' conclusion
Both neuraxial and general anesthesia were performed without major adverse events, suggesting that either approach may be feasible in women with Fontan circulation undergoing cesarean delivery; however, the findings should be interpreted with caution, given the small sample size.
Study context
- Population
- Pregnant women with Fontan circulation undergoing cesarean delivery at a single tertiary university hospitalcesarean deliveries in 13 women
- Participants
- 15 women
- Exposure
- Neuraxial vs GA for cesarean delivery
- Neuraxialn = 7
- GAn = 8
- Outcome
- Intraoperative hypotension (SBP <80% of preoperative baseline)
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
General anesthesia
6
events
Observational data: associations, not effects.
Further findings
Events
| Outcome | Neuraxial | GA |
|---|---|---|
| Prophylactic dopamine infusion | 7 | 5 |
Maternal characteristics
- Maternal age, median (range), years
- 30 (23-37)
- Gestational age, median (range)
- 34 weeks and 3 days (26 weeks and 4 days to 37 weeks)
- Subchorionic hematomas
- 11
- Arrhythmias during pregnancy
- 6
Safety
Events
| Outcome | Neuraxial | GA |
|---|---|---|
| Postoperative HF necessitating diuretics | 4 | 3 |
- Postoperative HF necessitating diuretics — HF necessitating diuretics, total
- 7
Postoperative HF necessitating diuretics
- All patients discharged in stable condition
Original publication
Anesthetic Management for Cesarean Delivery in Women with Fontan Circulation: A Single-Center Retrospective Observational Study. J Cardiothorac Vasc Anesth. Published 8 May 2026. doi:10.
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