This case report highlights the anesthetic challenges encountered in managing an adult female with an uncorrected univentricular heart who presented with a ruptured ectopic pregnancy requiring emergent laparotomy. The authors detail the delicate intraoperative balance required to maintain optimal hemodynamics in the setting of single-ventricle physiology, while also addressing the surgical urgency of hemoperitoneum and unstable physiology.
Through close coordination between anesthesiology, cardiology, and obstetric surgery teams, a tailored strategy emphasizing preload optimization, afterload control, and vigilant monitoring enabled a safe unilateral salpingectomy under general anesthesia. The case underscores the need for nuanced decision-making, individualized hemodynamic targets, and multidisciplinary planning when complex congenital heart disease intersects with acute obstetric…
