{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T14:25:02Z","timestamp":1780323902562,"version":"3.54.1"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/deed.de"},{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/deed.de"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Anaesthesiologie"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1007\/s00101-026-01670-6","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T11:56:15Z","timestamp":1775735775000},"page":"399-412","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anesthesia during cesarean section in women with congenital heart disease","An\u00e4sthesie im Rahmen von Kaiserschnitten bei Frauen mit angeborenem Herzfehler"],"prefix":"10.1007","volume":"75","author":[{"given":"Susanne","family":"Greve","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathalie","family":"Weigt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christiane E.","family":"Beck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Fischbach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Heusinger von Waldegg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Heiderich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Rigterink","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steffen B.","family":"Wiegand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,9]]},"reference":[{"key":"1670_CR1","doi-asserted-by":"crossref","unstructured":"Abdul-Khaliq, Gomes, Meyer et\u00a0al. (2024) Trends of mortality rate in patients with congenital heart defects in Germany\u2014analysis of nationwide data of the Federal Statistical Office of Germany. Clin Res Cardiol 113:750\u2013760","DOI":"10.1007\/s00392-023-02370-6"},{"key":"1670_CR2","doi-asserted-by":"crossref","unstructured":"Ayoub, Jalbout, Baraka (2002) The pregnant cardiac woman. Current Opinion in Anesthesiology 15:285","DOI":"10.1097\/00001503-200206000-00002"},{"key":"1670_CR3","doi-asserted-by":"crossref","unstructured":"Balci, Sollie-Szarynska, van der Bijl, et\u00a0al. (2014) Prospective validation and assessment of cardiovascular and offspring risk models for pregnant women with congenital heart disease. Heart. 100: 1373\u20131381","DOI":"10.1136\/heartjnl-2014-305597"},{"key":"1670_CR4","doi-asserted-by":"crossref","unstructured":"Baumgartner, De Backer, Babu-Narayan, et\u00a0al. (2020) ESC Guidelines for the management of adult congenital heart disease: The Task Force for the management of adult congenital heart disease of the European Society of Cardiology (ESC). Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC), International Society for Adult Congenital Heart Disease (ISACHD). European Heart Journal. 2021; 42: 563\u2013645","DOI":"10.1093\/eurheartj\/ehaa554"},{"key":"1670_CR5","doi-asserted-by":"crossref","unstructured":"Bredy, Deville, Huguet, et\u00a0al. (2023) Which risk score best predicts cardiovascular outcome in pregnant women with congenital heart disease? Eur Heart J Qual Care Clin Outcomes. 9: 177\u2013183","DOI":"10.1093\/ehjqcco\/qcac019"},{"key":"1670_CR6","doi-asserted-by":"crossref","unstructured":"Bremerich and Greve (2021) [The new S1 guidelines \u201cObstetric analgesia and anesthesia\u201d-Presentation and comments]. Anaesthesist. 70: 229\u2013236","DOI":"10.1007\/s00101-020-00910-7"},{"key":"1670_CR7","doi-asserted-by":"crossref","unstructured":"Drenthen, Boersma, Balci, et\u00a0al.(2010)  Predictors of pregnancy complications in women with congenital heart disease. European Heart Journal. 31: 2124\u20132132","DOI":"10.1093\/eurheartj\/ehq200"},{"key":"1670_CR8","doi-asserted-by":"crossref","unstructured":"Ernst, Meng, Quist-Nelson, et\u00a0al. (2024) Managing cardiovascular disease in pregnant people: Defining the pregnancy heart team. Best Pract Res Clin Anaesthesiol. 38: 278\u2013292","DOI":"10.1016\/j.bpa.2024.10.001"},{"key":"1670_CR9","doi-asserted-by":"crossref","unstructured":"Grandinetti et\u00a0al. (2025) Pregnancy in ACHD women: crucial role of multidisciplinary clinical roadmap. The Journal of Maternal-Fetal & Neonatal Medicine. 38: 2470411","DOI":"10.1080\/14767058.2025.2470411"},{"key":"1670_CR10","unstructured":"Hagemann, Kluge, and Ritzmann (2011) High Responsibility Teams \u2013 Eine systematische Analyse von Teamarbeitskontexten f\u00fcr einen effektiven Kompetenzerwerb. Psychology of Everyday Activity. 22\u201342"},{"key":"1670_CR11","doi-asserted-by":"crossref","unstructured":"van Hagen, Boersma, Johnson, et\u00a0al. (2016) Global cardiac risk assessment in the Registry Of Pregnancy And Cardiac disease: results of a\u00a0registry from the European Society of Cardiology. Eur J Heart Fail. 18: 523\u2013533","DOI":"10.1002\/ejhf.501"},{"key":"1670_CR12","doi-asserted-by":"crossref","unstructured":"Iluz-Freundlich, Vikhorova, Azem, et\u00a0al. Peripartum anesthesia management and outcomes of patients with congenital heart disease: a\u00a0single-center retrospective analysis (2009-2023). Int J Obstet Anesth. 2024; 60: 104241","DOI":"10.1016\/j.ijoa.2024.104241"},{"key":"1670_CR13","doi-asserted-by":"crossref","unstructured":"Lau, Aggarwal, Briller, et\u00a0al. (2024) Recommendations for the Management of High-Risk Cardiac Delivery: ACC Cardiovascular Disease in Women Committee Panel. JACC Adv. 3: 100901","DOI":"10.1016\/j.jacadv.2024.100901"},{"key":"1670_CR14","doi-asserted-by":"crossref","unstructured":"van der Linde, Konings, Slager, et\u00a0al. (2011) Birth Prevalence of Congenital Heart Disease Worldwide: A\u00a0Systematic Review and Meta-Analysis. Journal of the American College of Cardiology. 58: 2241\u20132247","DOI":"10.1016\/j.jacc.2011.08.025"},{"key":"1670_CR15","doi-asserted-by":"crossref","unstructured":"Liu, Chen, Z\u00fchlke, et\u00a0al. (2019) Global birth prevalence of congenital heart defects 1970\u20132017: updated systematic review and meta-analysis of 260 studies. Int J Epidemiol. 48: 455\u2013463","DOI":"10.1093\/ije\/dyz009"},{"key":"1670_CR16","unstructured":"Liu, Huang, and Lin (2012) Risk factors and risk index of cardiac events in pregnant women with heart disease. Chinese Medical Journal. 125: 3410"},{"key":"1670_CR17","doi-asserted-by":"crossref","unstructured":"Liu, Li, Li, et\u00a0al. (2023) Outcomes of pregnancy in women with different types of pulmonary hypertension. BMC Cardiovasc Disord. 23: 391","DOI":"10.1186\/s12872-023-03423-4"},{"key":"1670_CR18","doi-asserted-by":"crossref","unstructured":"Lytzen, Vejlstrup, Bjerre, et\u00a0al. (2018) Live-Born Major Congenital Heart Disease in Denmark: Incidence, Detection Rate, and Termination of Pregnancy Rate From 1996 to 2013. JAMA Cardiology. 3: 829\u2013837","DOI":"10.1001\/jamacardio.2018.2009"},{"key":"1670_CR19","doi-asserted-by":"crossref","unstructured":"Malfertheiner, Brodie, Burrell, et\u00a0al. (2023) Extracorporeal membrane oxygenation during pregnancy and peripartal. An international retrospective multicenter study. Perfusion. 38: 966\u2013972","DOI":"10.1177\/02676591221090668"},{"key":"1670_CR20","doi-asserted-by":"crossref","unstructured":"M\u00fcller, Norozi, Caroline, et\u00a0al. (2022) Morbidity and mortality in adults with congenital heart defects in the third and fourth life decade. Clin Res Cardiol. 111: 900\u2013911","DOI":"10.1007\/s00392-022-01989-1"},{"key":"1670_CR21","doi-asserted-by":"crossref","unstructured":"Nitta, Shimizu, Kaneko, et\u00a0al. (2021) Outcomes of women with congenital heart disease admitted to acute-care hospitals for delivery in Japan: a\u00a0retrospective cohort study using nationwide Japanese diagnosis procedure combination database. BMC Cardiovasc Disord. 21: 409","DOI":"10.1186\/s12872-021-02222-z"},{"key":"1670_CR22","doi-asserted-by":"crossref","unstructured":"Ornaghi, Bellante, Abbamondi, et\u00a0al. (2022) Cardiac and obstetric outcomes in pregnant women with heart disease: appraisal of the 2018 mWHO classification. Open Heart. 9:","DOI":"10.1136\/openhrt-2021-001947"},{"key":"1670_CR23","doi-asserted-by":"crossref","unstructured":"Patel, Kua, Sharawi, et\u00a0al. (2022) Inadequate neuraxial anaesthesia in patients undergoing elective caesarean section: a\u00a0systematic review. Anaesthesia. 77: 598\u2013604","DOI":"10.1111\/anae.15657"},{"key":"1670_CR24","unstructured":"Perioperative Leistungserfassung in der An\u00e4sthesie und Chirurgie - BDC|Online. BDC."},{"key":"1670_CR25","doi-asserted-by":"crossref","unstructured":"Pijuan-Dom\u00e8nech, Galian, Goya, et\u00a0al. (2015) Cardiac complications during pregnancy are better predicted with the modified WHO risk score. Int J Cardiol. 195: 149\u2013154","DOI":"10.1016\/j.ijcard.2015.05.076"},{"key":"1670_CR26","doi-asserted-by":"crossref","unstructured":"Regitz-Zagrosek, Roos-Hesselink, Bauersachs, et\u00a0al. (2018) 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy: The Task Force for the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC). European Heart Journal. 39: 3165\u20133241","DOI":"10.1093\/eurheartj\/ehy478"},{"key":"1670_CR27","doi-asserted-by":"crossref","unstructured":"Reschke, Monks, Varaday, et\u00a0al. (2020) Choice of local anaesthetic for epidural caesarean section: a\u00a0Bayesian network meta-analysis. Anaesthesia. 75: 674\u2013682","DOI":"10.1111\/anae.14966"},{"key":"1670_CR28","doi-asserted-by":"crossref","unstructured":"Rou\u00e9, Iung, Bourgeois-Moine, et\u00a0al. (2021) Major adverse cardiovascular events and anaesthetic management in pregnant women with cardiac disease: a\u00a0retrospective, single-centre study. British Journal of Anaesthesia. 127: e8\u2013e10","DOI":"10.1016\/j.bja.2021.03.032"},{"key":"1670_CR29","doi-asserted-by":"crossref","unstructured":"Ruys, Roos-Hesselink, Pijuan-Dom\u00e8nech, et\u00a0al. (2015) Is a\u00a0planned caesarean section in women with cardiac disease beneficial? Heart. 101: 530\u2013536","DOI":"10.1136\/heartjnl-2014-306497"},{"key":"1670_CR30","doi-asserted-by":"crossref","unstructured":"Sandberg, Fomina, Macsali, et\u00a0al. (2024) Time trends and birth rates in women with congenital heart disease; a\u00a0nationwide cohort study from Norway 1994-2014. Int J Cardiol Congenit Heart Dis. 16: 100507","DOI":"10.1016\/j.ijcchd.2024.100507"},{"key":"1670_CR31","doi-asserted-by":"crossref","unstructured":"Schlichting, Insaf, Zaidi, et\u00a0al. (2019) Maternal Comorbidities and Complications of Delivery in Pregnant Women With Congenital Heart Disease. J\u00a0Am Coll Cardiol. 73: 2181\u20132191","DOI":"10.1016\/j.jacc.2019.01.069"},{"key":"1670_CR32","doi-asserted-by":"crossref","unstructured":"Siu, Sermer, Colman, et\u00a0al. (2001) Prospective multicenter study of pregnancy outcomes in women with heart disease. Circulation. 104: 515\u2013521","DOI":"10.1161\/hc3001.093437"},{"key":"1670_CR33","unstructured":"Waurick, Zarbock, Gogarten, et\u00a0al. S1\u00a0Leitlinie R\u00fcckenmarksnahe Regionalan\u00e4sthesien und Thrombembolieprophylaxe\/ antithrombotische Medikation V.5.1 05.21."}],"container-title":["Die Anaesthesiologie"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00101-026-01670-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00101-026-01670-6","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00101-026-01670-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T13:35:28Z","timestamp":1780320928000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00101-026-01670-6"}},"subtitle":["Experience from a\u00a0certified university hospital for adults with congenital heart disease in Germany\u2014Retrospective analysis from 2013\u20132023","Erfahrungen aus einem deutschen Universit\u00e4tsklinikum zertifiziert f\u00fcr Erwachsene mit angeborenem Herzfehler\u00a0\u2013 retrospektive Analyse von 2013 bis 2023"],"short-title":[],"issued":{"date-parts":[[2026,4,9]]},"references-count":33,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["1670"],"URL":"https:\/\/doi.org\/10.1007\/s00101-026-01670-6","relation":{},"ISSN":["2731-6858","2731-6866"],"issn-type":[{"value":"2731-6858","type":"print"},{"value":"2731-6866","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,9]]},"assertion":[{"value":"17 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 March 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"S.\u00a0Greve, N.\u00a0Weigt, C.E.\u00a0Beck, A.\u00a0Fischbach, T.\u00a0Heusinger von Waldegg, S.\u00a0Heiderich, V.\u00a0Rigterink and S.B.\u00a0Wiegand declare that they have no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The local ethics committee of Hannover Medical School approved this retrospective analysis of patient data (11163_BO_K_2023). This study was registered online in the German Clinical Trials Register (DRKS00033197).","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}]}}