{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:46:50Z","timestamp":1791985610404,"version":"4.4.0"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Double inlet left ventricle (DILV) is a rare congenital heart disease that usually requires surgical treatment in childhood but can survive to old age untreated under certain conditions. In such patients, general anesthesia management requires an understanding of their unique hemodynamics and pathophysiology, along with the ability to maintain these conditions. In this case, long-term survival was possible due to the maintenance of an appropriate pulmonary-systemic blood flow balance achieved by pulmonary artery stenosis (PS), necessitating anesthesia management that preserved this balance. We report a case of non-cardiac anesthesia in an untreated adult patient with DILV, where systemic vascular resistance (SVR) monitoring and anesthesia management using remimazolam were employed to maintain stable circulatory control.<\/jats:p>","DOI":"10.4103\/aca.aca_266_25","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T17:00:25Z","timestamp":1791824425000},"page":"618-621","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Management of Non-cardiac Surgery in an Elderly Patient with Uncorrected Double Inlet Left Ventricle: Utility of the Pulse Contour Analysis-Based Cardiac Output Monitor"],"prefix":"10.4103","volume":"29","author":[{"given":"Jun","family":"Honda","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Fukushima Medical University Hospital, Fukushima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuki","family":"Yamazaki","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Fukushima Medical University Hospital, Fukushima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takayuki","family":"Hasegawa","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Fukushima Medical University Hospital, Fukushima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshie","family":"Noji","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Fukushima Medical University Hospital, Fukushima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoki","family":"Inoue","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Fukushima Medical University Hospital, Fukushima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"R1-20261014","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1093\/eurheartj\/ehaa554","article-title":"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)","volume":"42","author":"Baumgartner","year":"2021","journal-title":"Eur Heart J"},{"key":"R2-20261014","article-title":"Anesthesia for non-cardiac surgery in a cyanotic infant with d-TGA, DILV, and VACTERL: A delicate balance","author":"Vaswani","journal-title":"J Anaesthesiol Clin Pharmacol"},{"key":"R3-20261014","doi-asserted-by":"crossref","first-page":"744","DOI":"10.4103\/ija.IJA_415_17","article-title":"Congenital heart diseases and anaesthesia","volume":"61","author":"Sandip","year":"2017","journal-title":"Indian J Anaesth"},{"key":"R4-20261014","first-page":"1274","article-title":"Double-inlet left ventricle","volume":"24","author":"Rao","year":"2022","journal-title":"Children (Basel)"},{"key":"R5-20261014","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1161\/CIRCULATIONAHA.105.592378","article-title":"Univentricular heart","volume":"115","author":"Khairy","year":"2007","journal-title":"Circulation"},{"key":"R6-20261014","doi-asserted-by":"crossref","first-page":"1124","DOI":"10.1016\/0002-9149(84)90648-9","article-title":"Long-term follow-up in the unoperated univentricular heart","volume":"53","author":"Moodie","year":"1984","journal-title":"Am J Cardiol"},{"key":"R7-20261014","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1136\/heartjnl-2015-308440","article-title":"Survival and outcomes of patients with unoperated single ventricle","volume":"102","author":"Poterucha","year":"2016","journal-title":"Heart"},{"key":"R8-20261014","first-page":"1:542","article-title":"Survival into adulthood of patients with unoperated single ventricle","volume":"77","author":"Naser","year":"1996","journal-title":"Am J Cardiol"},{"key":"R9-20261014","doi-asserted-by":"crossref","first-page":"48","DOI":"10.4097\/kja.24444","article-title":"Comparing the safety and efficacy of remimazolam-based total intravenous anesthesia versus volatile agent-based anesthesia: A meta-analysis of randomized controlled trials","volume":"78","author":"Park","year":"2024","journal-title":"Korean J Anesthesiol"},{"key":"R10-20261014","doi-asserted-by":"crossref","first-page":"901","DOI":"10.23736\/S0375-9393.24.18041-8","article-title":"Comparison between hemodynamic effects of remimazolam and propofol during general anesthesia: A systematic review and meta-analysis","volume":"90","author":"Wegner","year":"2024","journal-title":"Minerva Anestesiol"},{"key":"R11-20261014","doi-asserted-by":"crossref","first-page":"202","DOI":"10.4103\/0971-9784.154478","article-title":"Ketamine in adult cardiac surgery and the cardiac surgery Intensive Care Unit: An evidence-based clinical review","volume":"18","author":"Mazzeffi","year":"2015","journal-title":"Ann Card Anaesth"},{"key":"R12-20261014","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1093\/bja\/aet022","article-title":"Systemic vascular resistance has an impact on the reliability of the Vigileo-FloTrac system in measuring cardiac output and tracking cardiac output changes","volume":"111","author":"Suehiro","year":"2013","journal-title":"Br J Anaesth"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_266_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:01:25Z","timestamp":1791982885000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_266_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_266_25","relation":{},"ISSN":["0971-9784","0974-5181"],"issn-type":[{"value":"0971-9784","type":"print"},{"value":"0974-5181","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2025-09-17","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-26","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}