| CASE REPORT |
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| Year : 2019 | Volume
: 13
| Issue : 2 | Page : 35-37 |
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Eisenmenger syndrome and emergency laparotomy: a case report
Neeraj Kumar1, Amarjeet Kumar1, Kumari Sneha2, Mukta Agarwal2, Sanjeev Kumar3
1 Department of Trauma & Emergency, All India Institute of Medical Sciences, Patna, Bihar, India
2 Department of Anaesthesia, All India Institute of Medical Sciences, Patna, Bihar, India
3 Department of CTVS, All India Institute of Medical Sciences, Patna, Bihar, India
Correspondence Address:
Amarjeet Kumar
All India Institute of Medical Sciences Campus, Patna, Bihar, 801507
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ejca.ejca_6_19
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The ES (Eisenmenger syndrome) consists of pulmonary hypertension with a reversed or bidirectional shunt at the atrio-ventricular or aorto-pulmonary level. Anaesthetic management for these patients is always challenging. So careful circulatory and respiratory managements is required to avoid various factors related to surgery and anesthesia that can potentially increase right to left shunt. So primary goal is to maintain cardiac output to prevent a decrease in systemic vascular resistance and an increase in pulmonary vascular resistance. Here we describe an anaesthetic management of a 15-year-old lady,diagnosed with ES posted for emergency removal of left adnexal mass. In this case we have used general anaesthesia with patient controlled epidural analgesia for abolishing postoperative pain.
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