{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:07:27Z","timestamp":1787170047690,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Although complex congenital heart disease (CHD) patients usually present in childhood, it is not rare to see adults well past middle age. These patients undergo continuous pathophysiological changes in their heart and blood vessels, making anesthetic management more challenging if surgery is required. Herein, we report a case in which understanding the anatomy and pathophysiology helped optimally manage a patient with a double outlet right ventricle (DORV) who underwent plating and fixation for a hangman\u2019s fracture in the prone position.<\/jats:p>","DOI":"10.4103\/aca.aca_25_23","type":"journal-article","created":{"date-parts":[[2023,10,14]],"date-time":"2023-10-14T05:01:15Z","timestamp":1697259675000},"page":"461-463","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Complex Cyanotic Congenital Heart Disease and Cervical Spine Surgery: Ticking All the Right Boxes"],"prefix":"10.4103","volume":"26","author":[{"given":"Sanjay","family":"Jaswal","sequence":"first","affiliation":[{"name":"Department of Anesthesia and Intensive Care, PGIMER, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinitha","family":"Narayan","sequence":"additional","affiliation":[{"name":"Division of Neuroanesthesia, Department of Anesthesia and Intensive Care, PGIMER, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Punith","family":"Gowda","sequence":"additional","affiliation":[{"name":"Division of Neuroanesthesia, Department of Anesthesia and Intensive Care, PGIMER, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shalvi","family":"Mahajan","sequence":"additional","affiliation":[{"name":"Division of Neuroanesthesia, Department of Anesthesia and Intensive Care, PGIMER, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,10,13]]},"reference":[{"key":"R1-20240901","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1097\/ALN.0b013e3181ae51a6","article-title":"Anesthesia for noncardiac surgery in adults with congenital heart disease","volume":"111","author":"Cannesson","year":"2009","journal-title":"Anesthesiology"},{"key":"R2-20240901","doi-asserted-by":"crossref","first-page":"212","DOI":"10.4103\/ija.IJA_810_18","article-title":"Haemodynamic changes during prone positioning in anaesthetised chronic cervical myelopathy patients","volume":"63","author":"Manohar","year":"2019","journal-title":"Indian J Anaesth"},{"key":"R3-20240901","doi-asserted-by":"crossref","first-page":"52","DOI":"10.3171\/jns.1980.52.1.0052","article-title":"Cardiac arrhythmias accompanying acute compression of the spinal cord","volume":"52","author":"Evans","year":"1980","journal-title":"J Neurosurg"},{"key":"R5-20240901","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1177\/1089253214528048","article-title":"Perioperative management of DORV","volume":"18","author":"Spaeth","year":"2014","journal-title":"Semin Cardiothorac Vasc Anesth"},{"key":"R6-20240901","doi-asserted-by":"crossref","first-page":"50","DOI":"10.4103\/2249-4472.99328","article-title":"Anesthetic management of caesarean section in a patient with double outlet right ventricle","volume":"1","author":"Krishna","year":"2012","journal-title":"J Obstet Anaesth Crit Care"},{"key":"R7-20240901","first-page":"523","article-title":"Anesthetic management of a parturient with double-outlet right ventricle obstruction and PS scheduled for cesarean delivery:Case report and review of literature","volume":"89","author":"Chowdhury","year":"2021","journal-title":"AANA J"},{"key":"R8-20240901","doi-asserted-by":"crossref","first-page":"518","DOI":"10.4103\/aca.aca_315_20","article-title":"Combination of low-dose spinal anesthesia and epidural anesthesia as anesthetic management in patient with uncorrected Double Outlet Right Ventricle (DORV) underwent cesarean section","volume":"25","author":"Hartono","year":"2022","journal-title":"Ann Card Anaesth"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_25_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:17:47Z","timestamp":1787167067000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_25_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_25_23","relation":{},"ISSN":["0971-9784","0974-5181"],"issn-type":[{"value":"0971-9784","type":"print"},{"value":"0974-5181","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10]]},"assertion":[{"value":"2023-02-27","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-11","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}