Anesth Pain Med.  2008 Jan;3(1):40-43.

Anesthesia for Surgical Fixation of the Fractured Neck of Femur in a Patient with Eisenmenger's Syndrome : A case report

• Kim ES
• Hong SH
• Lee YK
• Ryu KH
• Yoo YJ

Abstract

Eisenmenger's syndrome consists of high pulmonary vascular resistance with reversed or bidirectional shunt at aortopulmonary, ventricular, or atrial level. Noncardiac surgery for a patient with this syndrome is challenging because both the perioperative morbidity and mortality are high. We describe the anesthetic management of a 66-year-old female patient with Eisenmenger's syndrome secondary to the tetralogy of Fallot (TOF), who was operated on for the fractured neck of her left femur. Anesthesia was induced with etomidate and sufentanil and was maintained with propofol and sufentanil without any inhalational anesthetics (total intravenous anesthesia). To maintain the systemic vascular resistance, we administered norepinephrine throughout the surgery and the postoperative care. The patient was discharged 20 days after the operation without any complications.

Keyword

Eisenmenger's syndrome; norepinephrine; total intravenous anesthesia

MeSH Terms

Aged
Anesthesia
Anesthetics
Eisenmenger Complex
Etomidate
Female
Femur
Humans
Neck
Norepinephrine
Postoperative Care
Propofol
Sufentanil
Tetralogy of Fallot
Vascular Resistance
Anesthetics
Etomidate
Norepinephrine
Propofol
Sufentanil