{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:10:11Z","timestamp":1756318211061,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,6,4]]},"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:p>Tricuspid atresia is a complex congenital cardiac anomaly with single ventricle physiology characterised by intracardiac mixing of oxygenated and deoxygenated blood. Managing such parturient demands an in-depth understanding of the cardiac defect, the stage of surgical palliation, functional status, and the cardiovascular impact of pregnancy and labour. This report details a female in her late twenties with tricuspid atresia and hypoplastic right ventricle, previously treated with a bidirectional Glenn shunt, who underwent a successful emergency caesarean section at 34 weeks using neuraxial anaesthesia. The case underscores the anaesthetic challenges and perioperative strategies involved in managing patients with such complex cardiac physiology.<\/jats:p>","DOI":"10.1136\/bcr-2025-264831","type":"journal-article","created":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T14:35:24Z","timestamp":1751034924000},"page":"e264831","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Anaesthesia strategies for caesarean section in superior cavopulmonary anastomosis"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8061-7315","authenticated-orcid":false,"given":"Ashwin","family":"M","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, Pain medicine and Critical care, All India Institute of Medical Sciences New Delhi, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6520-4922","authenticated-orcid":false,"given":"Kaimedinlung","family":"Newmai","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Pain medicine and Critical care, All India Institute of Medical Sciences New Delhi, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3384-3621","authenticated-orcid":false,"given":"Sukriti","family":"Jha","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Pain medicine and Critical care, All India Institute of Medical Sciences New Delhi, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5664-0320","authenticated-orcid":false,"given":"Subodh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Pain medicine and Critical care, All India Institute of Medical Sciences New Delhi, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,6,27]]},"reference":[{"key":"2025082710322997000_18.6.e264831.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2016.01.062"},{"key":"2025082710322997000_18.6.e264831.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchf.2019.09.001"},{"key":"2025082710322997000_18.6.e264831.3","article-title":"Single Ventricle-A Comprehensive Review","volume":"8","author":"Rao","year":"2021","journal-title":"Children (Basel)"},{"key":"2025082710322997000_18.6.e264831.4","doi-asserted-by":"crossref","first-page":"e657","DOI":"10.1161\/CIR.0000000000001121","article-title":"Anesthetic Care of the Pregnant Patient With Cardiovascular Disease: A Scientific Statement From the American Heart Association","volume":"147","author":"Meng","year":"2023","journal-title":"Circulation"},{"key":"2025082710322997000_18.6.e264831.5","unstructured":"Joshi H , Germeroth DR . Single ventricle and anesthesia management. In: StatPearls. Treasure Island (FL): StatPearls Publishing, 2024. Available: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK36251854"},{"key":"2025082710322997000_18.6.e264831.6","doi-asserted-by":"crossref","DOI":"10.1016\/j.lansea.2023.100223","article-title":"Heart disease complicating pregnancy as a leading cause of maternal deaths in LMIC settings: the Sri Lankan experience","volume":"15","author":"Hettiarachchi","year":"2023","journal-title":"Lancet Reg Health Southeast Asia"},{"key":"2025082710322997000_18.6.e264831.7","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1177\/1089253220939361","article-title":"Superior Cavopulmonary Connection: Its Physiology, Limitations, and Anesthetic Implications","volume":"24","author":"Choi","year":"2020","journal-title":"Semin Cardiothorac Vasc Anesth"},{"key":"2025082710322997000_18.6.e264831.8","first-page":"36","article-title":"Glenn shunt: anesthetic concerns for a non-cardiac surgery","volume":"2","author":"Gupta","year":"2017","journal-title":"North J ISA"},{"key":"2025082710322997000_18.6.e264831.9","doi-asserted-by":"publisher","DOI":"10.1093\/bjaceaccp\/mkr049"},{"key":"2025082710322997000_18.6.e264831.10","doi-asserted-by":"crossref","first-page":"439","DOI":"10.4103\/aer.aer_6_22","article-title":"Comparison of postoperative pulmonary outcomes in patients undergoing cesarean section under general and spinal anesthesia: a single-center audit","volume":"15","author":"Louis","year":"2021","journal-title":"Anesth Essays Res"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-264831","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:32:38Z","timestamp":1756315958000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-264831"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":10,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2025,6,27]]},"published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1136\/bcr-2025-264831"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-264831","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,6]]}}}