Intraoperative Management of Cesarean Section in a Parturient with a Bidirectional Glenn Procedure: A Case Report
Abstract
This case report describes the successful intraoperative management of a cesarean section (CS) in a 40-year-old parturient with a history of bidirectional Glenn procedure for complex single-ventricle congenital heart disease. Key anesthetic strategies included combined spinal-epidural anesthesia with low-dose ropivacaine to minimize sympathetic blockade, and the simultaneous infusion of phenylephrine (via a lower limb vein) and dobutamine (via an upper limb vein) to maintain systemic vascular resistance (SVR) and reduce pulmonary vascular resistance (PVR), respectively. Combined with non-pharmacological anxiolysis and careful positioning, this approach ensured stable hemodynamics and oxygenation for both the mother and the fetus throughout the procedure.
Fields of Study & Subjects
Anesthesia and Pain Management
Cardiovascular Issues in Pregnancy
Congenital Heart Disease Studies
Publication details
- Journal / source
- Journal of Obstetric Anaesthesia and Critical Care
- Volume
- 16
- Issue
- 1
- Pages
- 74–76
- Publication date
- 1 January 2026
- Language
- EN