PERIOPERATIVE MANAGEMENT OF PATENT DUCTUS ARTERIOSIS WITH EISENMENGERS SYNDROME WITH SEVERE PULMONARY HYPERTENSION POSTED FOR NON-CARDIAC SURGERY.

Abstract :

Victor Eisenmengers initial definition of Eisenmengers syndrome was redefined by Wood as the presence of high pulmonary vascular resistance associated with pulmonary artery hypertension at or close to systemic pressure associated with a reversed or bi-directional shunt at the aortopulmonary, interatrial or interventricular level. Survival beyond 50 years is unusual but patients may lead relatively active and productive life in early adulthood and will therefore present from time to time for non-cardiac surgery. Though theoretical risks of anaesthesia are considerable patients are known to do well with variety of techniques, if pathophysiology of disease is well understood. We describe the anaesthetic management of patient with Eisenmengers syndrome with abnormal uterine bleeding with multiple fioids, underwent total abdominal hysterectomy after pre-operative stabilization where anesthetizing such a decompensated patient is an anaesthetic challenge.

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