{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T18:03:51Z","timestamp":1782929031078,"version":"3.54.5"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"Justus-Liebig-Universit\u00e4t Gie\u00dfen"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Anaesthesiologie"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Einleitung<\/jats:title>\n                    <jats:p>Mit der steigenden Zahl Erwachsener mit angeborenen Herzfehlern (EMAH) in Deutschland nimmt auch die Zahl schwangerer EMAH-Patientinnen zu, was an\u00e4sthesiologische und geburtshilfliche Teams zunehmend vor komplexe Herausforderungen stellt. Diese Studie untersucht an\u00e4sthesiologische Managementstrategien und postoperative Versorgungsanforderungen bei EMAH-Patientinnen, die in einem terti\u00e4ren Versorgungszentrum behandelt wurden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methoden<\/jats:title>\n                    <jats:p>Diese retrospektive monozentrische Studie umfasste EMAH-Patientinnen, die zwischen 2004 und 2023 eine An\u00e4sthesie f\u00fcr eine Entbindung, einen Kaiserschnitt oder eine geburtshilfliche Operation erhielten. Es erfolgte ein 1:2-Matching auf ausgew\u00e4hlte klinische Basisvariablen mit geburtshilflichen Patientinnen ohne angeborenen Herzfehler zur deskriptiven Einordnung.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>\n                      Insgesamt wurden 391 F\u00e4lle in die Studie eingeschlossen, davon 131 EMAH-F\u00e4lle und 260 F\u00e4lle der Vergleichsgruppe (VG) (mWHO\u00a0I: 44,2\u202f%, mWHO\u00a0II: 23,8\u202f%, mWHO II-III: 20,5\u202f%, mWHO\u00a0III und\u00a0IV: 11,5\u202f%). Spinal- und Epiduralan\u00e4sthesien wurden signifikant h\u00e4ufiger bei Patientinnen mit niedrigeren mWHO-Klassen eingesetzt (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u20090,017). Alle mWHO IV-Patientinnen ben\u00f6tigten eine Allgemeinan\u00e4sthesie durch An\u00e4sthesisten mit Erfahrung in der Kardioan\u00e4sthesie. Postoperativ wurden EMAH-Patientinnen signifikant h\u00e4ufiger intensivmedizinisch betreut (ITS: 6,6\u202f% vs.\u00a01,6\u202f%,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u20090,02; IMC: 13,9\u202f% vs.\u00a03,7\u202f%,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&lt;\u20090,001). Insgesamt war die an\u00e4sthesiologische Komplikationsrate niedrig und mit der VG vergleichbar.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Eine geburtshilfliche An\u00e4sthesie mit niedrigen m\u00fctterlichen Komplikationsraten war auch bei EMAH-Patientinnen mit hoher Erkrankungsschwere m\u00f6glich. Alle An\u00e4sthesieverfahren erwiesen sich als durchf\u00fchrbar, wenn sie an das Risikoprofil angepasst wurden.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00101-026-01690-2","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T14:40:04Z","timestamp":1778164804000},"page":"473-486","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Monozentrische Kohortenanalyse des an\u00e4sthesiologischen Managements von Schwangeren mit angeborenen Herzfehlern","Monocentric cohort analysis of anaesthesiological management of pregnant women with congenital heart disease"],"prefix":"10.1007","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0565-1550","authenticated-orcid":false,"given":"Emmanuel","family":"Schneck","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Markmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annahita","family":"Bahadori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuella","family":"Iyoha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Oehmke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland","family":"Axt-Fliedner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aline","family":"Wolter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika","family":"L\u00fcdemann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas S.","family":"Zajonz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"M\u00fcller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,7]]},"reference":[{"key":"1690_CR1","doi-asserted-by":"publisher","first-page":"4462","DOI":"10.1093\/eurheartj\/ehaf193","volume":"46","author":"J De Backer","year":"2025","unstructured":"De Backer\u00a0J, Haugaa\u00a0KH, Hasselberg\u00a0NE et\u00a0al (2025) 2025 ESC Guidelines for the management of cardiovascular disease and pregnancy. 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