Work

Anesthetic management of an adult female with uncorrected univentricular heart and comorbid ectopic pregnancy for unilateral salpingectomy: a case report

Year: 2025

Type: article

Abstract: BACKGROUND: Anesthesia management for patients with uncorrected univentricular heart and ectopic pregnancy undergoing emergency laparotomy presents significant challenges. Close collaboration among a multidisciplinary team, a keen understanding of anatomy and pathophysiology, and optimization of intraoperative hemodynamic targets are crucial for successful outcomes. CASE PRESENTATION: We report the anesthetic challenges encountered in a case of an adult female with uncorrected univentricular heart and ectopic pregnancy who required urgent exploratory laparotomy. We summarize critical anesthetic considerations for patients with univentricular heart physiology undergoing non-cardiac surgery. The patient successfully underwent unilateral salpingectomy under general anesthesia. CONCLUSIONS: Multidisciplinary coordination and tailored hemodynamic management were pivotal to successful outcomes, providing valuable reference for the clinical diagnosis and treatment of similar cases in the future.

Source: BMC Anesthesiology

DOI: 10.1186/s12871-025-03453-9

Authors: Jiaying Xin, Jianguo Wang, Laizhu Zhang, Xuebo Bai

Institution: Affiliated Hospital of Jining Medical University

Language: English

Topic: Congenital Heart Disease Studies

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,190