{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:32:36Z","timestamp":1787758356189,"version":"build-2784847793"},"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":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title>ABSTRACT<\/jats:title>\n                    <jats:p>Pregnant patients with uncorrected Double Outlet Right Ventricle (DORV) undergoing cesarean section are challenging for anesthesiologists. We present a case of a 24-year-old woman with a gestational age of 30\u201332 weeks with DORV, ventricular septal defect, pulmonary hypertension, and stage C functional class III heart failure who was successfully managed using a combination of low-dose spinal anesthesia bupivacaine 0.5% 7.5 mg with adjuvant fentanyl 50 mcg and epidural ropivacaine 0.2%, and fentanyl 50 mcg TV 10 cc given 30 minutes after the birth of her baby. Hemodynamics was stable after low-dose spinal anesthesia and until the end of the operation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aca.aca_315_20","type":"journal-article","created":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T10:50:57Z","timestamp":1665139857000},"page":"518-521","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"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"],"prefix":"10.4103","volume":"25","author":[{"given":"Ruddi","family":"Hartono","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dendy D.","family":"Ramadhani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isngadi","family":"Isngadi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R3-21-20240901","first-page":"251","article-title":"Adult congenital heart disease with pregnancy","volume":"4","author":"Niwa","year":"2008","journal-title":"Korean Circ J"},{"key":"R4-21-20240901","doi-asserted-by":"crossref","first-page":"47","DOI":"10.4103\/2249-4472.99325","article-title":"Central neuraxial anesthesia for caesarean section with uncorrected Double Outlet Right Ventrikel","volume":"2","author":"Baidya","year":"2012","journal-title":"J Obstet Anaesth Crit Care"},{"key":"R5-21-20240901","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1213\/ANE.0b013e31821ad83e","article-title":"A case series of the anesthetic management of parturiens with surgically repaired Double Outlet Right Ventrikel","volume":"113","author":"Arendt","year":"2011","journal-title":"Anesth Analg"},{"key":"R7-21-20240901","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/1471-2253-5-5","article-title":"Synergitic effect of intrathecal fentanyl and bupivacaine in spinal anesthesia for cesarean section","volume":"5","author":"Bogra","year":"2005","journal-title":"BMC Anesthesiol"},{"key":"R8-21-20240901","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1213\/01.ane.0000231831.00032.97","article-title":"Suprasternal doppler estimation of cardiac output: Standard versus sequential combined spinal epidural for cesarean section delivery","volume":"103","author":"Bray","year":"2006","journal-title":"Anesth Analg"},{"key":"R9-21-20240901","first-page":"271","article-title":"Comparative study of intrathecal bupivacaine versus bupivacaine with fentanyl for cesarean section","volume":"3","author":"Kumar","year":"2016","journal-title":"Ind J Clin Anesth"},{"key":"R10-21-20240901","doi-asserted-by":"crossref","first-page":"3165","DOI":"10.1093\/eurheartj\/ehy340","article-title":"2018 ESC guidelines for the management of cardiovascular disease during pregnancy","volume":"39","author":"Zagrosek","year":"2018","journal-title":"Eur Heart J"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_315_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:11:02Z","timestamp":1787757062000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_315_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_315_20","relation":{},"ISSN":["0971-9784"],"issn-type":[{"value":"0971-9784","type":"print"}],"subject":[],"published":{"date-parts":[[2022,10]]}}}