Anaesthesia for cholecystectomy in two non‐parturients with Eisenmenger's syndrome

Abstract

Eisenmenger's syndrome consists of high pulmonary vascular resistance with reversed or bidirectional shunt at aortopulmonary, ventricular or atrial level. We describe the anaesthetic management of two adult females with Eisenmenger's syndrome admitted for laparoscopic cholecystectomy. One patient suffered post-operative complications, but the other case was uncomplicated. We used sevoflurane and total intravenous anaesthesia to provide general anaesthesia. Both techniques were tolerated.

Monitored anesthesia care for craniotomy in a patient with Eisenmenger syndrome: A case report

“…ES is defined as an untreated congenital cardiac defect with a left-to-right shunt that results in elevation of pulmonary arterial pressure at a systemic level[ 13 ]. The main anesthetic goals in patients with ES are as follows: (1) Maintain euvolemia; (2) optimize systematic vascular resistance; and (3) avoid the elements that increase pulmonary vascular resistance (pain, hypoxia, and hypercapnia)[ 3 , 14 , 15 ].…”

Continuous cervical plexus block for carotid body tumour excision in a patient with Eisenmenger's syndrome

“…The anaesthetic management of patients with Eisenmenger's syndrome or carotid body tumour resection are each associated with significant anaesthetic problems, which have been previously described [3–16]. Their coexistence represents a rare and potentially greater anaesthetic challenge, with only a single case report identified in which general anaesthesia was used [17].…”

Surgical management of amiodarone-induced thyrotoxicosis in a patient with Eisenmenger's syndrome: literature review and case report

“…Two patients had post-operative complications related to the surgical procedure (i.e. glossopharyngeal nerve palsy and hoarseness of voice); no complication could be attributed to the general anaesthetic 7 , 8 . No post-operative deaths were recorded, despite some patients undergoing major procedures.…”