31 December 2025
: Case report 
Anesthetic Management of a 32-Year-Old Woman Undergoing Laparoscopic Gynecological Surgery With Prior Fontan Repair for a Complex Congenital Heart Defect
Unusual setting of medical care, Congenital defects / diseases
Stefano Catarci
ABDEF 1*, Bruno Antonio Zanfini DE 1, Gennaro Canistro BDE 1, Giovanni Maria Maddaloni DE 1, Pietro Paolo Giuri DE 1, Gian Luigi Gonnella DE 1, Luciano Frassanito DE 1, Mariano Ciancia DE 1, Emanuele Capone DE 1, Paolo Lazzaro DE 1, Gaetano Draisci DE 1
DOI: 10.12659/AJCR.950027
Am J Case Rep 2025; 26:e950027
Table 1 Hemodynamic data and arterial blood gas analysis.
| Baseline (before induction) | Surgical incision | Start of pneumope-ritoneum | During surgery | End of surgery | Upon awakening | |
|---|---|---|---|---|---|---|
| Mean arterial pressure (mmHg) | 101 | 99 | 80 | 91 | 90 | 90 |
| Cardiac index (L/min/m) | 3.3 | 3.3 | 2.5 | 2.5 | 3.1 | 3.1 |
| Stroke volume (mL) | 61 | 70 | 68 | 60 | 72 | 71 |
| Stroke volume variation (%) | 9 | 9 | 10 | 10 | 9 | 10 |
| pH | 7.421 | 7.39 | 7.402 | |||
| PaO (mmHg) | 73 | 84 | 87 | |||
| PaCO (mmHg) | 30.7 | 33.5 | 31.3 | |||
| Base excess | −3.1 | −4.1 | −4.2 | |||
| Lactate (mmol/L) | 0.7 | 1.0 | 1.5 | |||
| Na (mEq/L) | 140 | 138 | 138 | |||
| K (mEq/L) | 3.9 | 3.6 | 3.4 | |||
| Ca (mg/dL) | 4.6 | 4.9 | 4.1 | |||
| Hemoglobin (g/dL) | 13.8 | 12.4 | 13.6 | |||