Anesthetic Management of a Patient With a Single Ventricle and Fontan Circulation Presenting for an Emergency Cesarean Birth

Journal of Cardiothoracic and Vascular Anesthesia 2026 Open access

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Authors: Samhati Mondal, Savannah Cofer, Michael Brush, Shobana Bharadwaj, Earl Wilson, John G. Augoustides, Liliane R. Ernst, Rohesh J. Fernando, Afif M. Kraitem, Marie‐Louise Meng
DOI: 10.1053/j.jvca.2026.04.002
Cited by: 1
References: 57

Abstract

The incidence of single ventricle physiology is up to 3% among all congenital heart diseases.1 The term ‘single ventricle’ includes a wide variety of congenital heart diseases, including ventricular connections, common ventricle, etc., which all share a common feature of having a single functional ventricle.1-3 Fontan is a common procedure that is used in patients with single ventricles to separate systemic and pulmonary circulations.4 In the absence of a subpulmonic pumping ventricle, pulmonary circulation is highly preload dependent and hemodynamic decompensation can be rapid in the setting of increased demand for cardiac output.

Fields of Study & Subjects

Congenital Heart Disease Studies Cardiovascular Issues in Pregnancy Cardiac Arrhythmias and Treatments

Publication details

Journal / source
Journal of Cardiothoracic and Vascular Anesthesia
Publisher
Elsevier BV
Volume
40
Issue
9
Pages
3029–3038
Publication date
4 April 2026
Language
EN