Anesthetic Considerations Concerning VSD a Patient with Eisenmenger's Syndrome: A case report.
10.4097/kjae.1999.37.4.715
- Author:
Hyeweon SHIN
1
;
Kuy Suk SUH
Author Information
1. Department of Anesthesiology, Seoul Eulji General Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Anesthetic technique, general;
Heart, congenital defects, Eeisenmenger's syndrome;
Surgery, hysterectomy
- MeSH:
Anesthesia;
Anesthesia, General;
Eisenmenger Complex*;
Female;
Heart Septal Defects, Ventricular;
Humans;
Hysterectomy;
Middle Aged;
Phenylephrine;
Vascular Diseases;
Vascular Resistance
- From:Korean Journal of Anesthesiology
1999;37(4):715-720
- CountryRepublic of Korea
- Language:Korean
-
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.
