Korean J Anesthesiol.  1999 Oct;37(4):715-720. 10.4097/kjae.1999.37.4.715.

Anesthetic Considerations Concerning VSD a Patient with Eisenmenger's Syndrome: A case report

• Shin H
• Suh KS

• KMID: 2091476
• DOI: http://doi.org/10.4097/kjae.1999.37.4.715

Abstract

Eisenmenger's syndrome includes any condition in which communication between the pulmonary and systemic circulations gives rise to pulmonary vascular disease causing a right to left shunt with peripheral cynosis. The theoretical risks of anesthesia in patients with Eisenmenger's syndrome are considerable. We report on the case of a 47-year-old female patient with Eisenmenger's syndrome secondary to ventricular septal defect for transabdominal hysterectomy. Of prime concern was the maintenance of sytemic vascular resistance, and this was achieved using an infusion of phenylephrine started before the induction of anesthesia; the infusion continued after the operation. We carefully performed general anesthesia with N2O-O2-ketamine-fetanyl-enflurane. The patient was discharged for home 8 days later without complications.

Keyword

Anesthetic technique, general; Heart, congenital defects, Eeisenmenger's syndrome; Surgery, hysterectomy

MeSH Terms

Anesthesia
Anesthesia, General
Eisenmenger Complex*
Female
Heart Septal Defects, Ventricular
Humans
Hysterectomy
Middle Aged
Phenylephrine
Vascular Diseases
Vascular Resistance
Phenylephrine