Anesthetic management of an adult female with uncorrected univentricular heart and comorbid ectopic pregnancy for unilateral salpingectomy: a case report.

BACKGROUND

Anesthesia management for patients with uncorrected univentricular heart and ectopic pregnancy undergoing emergency laparotomy presents significant challenges. Close collaboration among a multidisciplinary team, a keen understanding of anatomy and pathophysiology, and optimization of intraoperative hemodynamic targets are crucial for successful outcomes.

CASE PRESENTATION: We report the anesthetic challenges encountered in a case of an adult female with uncorrected univentricular heart and ectopic pregnancy who required urgent exploratory laparotomy. We summarize critical anesthetic considerations for patients with univentricular heart physiology undergoing non-cardiac surgery. The patient successfully underwent unilateral salpingectomy under general anesthesia.

CONCLUSIONS

Multidisciplinary coordination and tailored hemodynamic management were pivotal to successful outcomes, providing valuable reference for the clinical diagnosis and treatment of similar cases in the future.