Anaesthetic Management of a Case of Eisenmenger Syndrome undergoing Non Cardiac Surgery: A Case Report
Eisenmenger syndrome is a severe, irreversible complication of congenital heart defects, resulting in large anatomical shunts and leading to Pulmonary Arterial Hypertension (PAH). Patients with Eisenmenger syndrome are complex; when they require anaesthesia for a surgical procedure, they pose a grea...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2025-06-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/21130/77120_CE[Ra1]_F(IS)_QC(PS_SS)_PF1(AG_SS)_PFA(IS)_PN(IS).pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Eisenmenger syndrome is a severe, irreversible complication of congenital heart defects, resulting in large anatomical shunts and leading to Pulmonary Arterial Hypertension (PAH). Patients with Eisenmenger syndrome are complex; when they require anaesthesia for a surgical procedure, they pose a greater risk and present a challenge for the anaesthetist due to compromised haemodynamics. Hereby, authors present a case of a 31-year-old female with Eisenmenger syndrome, characterised by a large Ventricular Septal Defect (VSD) with bidirectional shunting and severe PAH, who is currently symptomatic and underwent an elective open appendicectomy. The authors utilised various modalities, including appropriate haemodynamic monitoring, smooth induction of general anaesthesia, and a regional block to manage postoperative pain. These strategies were employed to maintain the patient’s baseline homeostasis throughout the preoperative, perioperative and postoperative periods, ensuring that there was no compromise in the patient’s existing condition. Overall, the patient’s duration of hospital stay was uneventful and she was discharged shortly thereafter. |
|---|---|
| ISSN: | 2249-782X 0973-709X |