Anaesthesia for laparoscopic cholecystectomy in a patient with Eisenmenger's syndrome

We describe the management of a patient with Eisenmenger's syndrome presenting for laparoscopic cholecystectomy. Of prime concern was maintenance of systemic vascular resistance and this was achieved using infusion of noradrenaline started before induction of anaesthesia and continued after ope...

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Bibliographic Details
Published inBritish journal of anaesthesia : BJA Vol. 79; no. 6; pp. 810 - 812
Main Authors Sammut, M S, Paes, M L
Format Journal Article
LanguageEnglish
Published Oxford Elsevier Ltd 01.12.1997
Oxford University Press
Oxford Publishing Limited (England)
Subjects
Anesthesia
Anesthesia depending on patient's condition
Anesthesia, General - methods
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Cholecystectomy, Laparoscopic
Eisenmenger Complex - physiopathology
Female
Humans
Medical sciences
Middle Aged
Vascular Resistance
Cholecystectomy
Case study
Human
Surgery
Cardiovascular disease
General anesthesia
Gallbladder
Laparoscopy
Eisenmenger syndrome
Congenital disease
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Summary:We describe the management of a patient with Eisenmenger's syndrome presenting for laparoscopic cholecystectomy. Of prime concern was maintenance of systemic vascular resistance and this was achieved using infusion of noradrenaline started before induction of anaesthesia and continued after operation. Avoidance of other factors that could potentially increase right to left shunt flow contributed to the successful outcome.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0007-0912
1471-6771
DOI:10.1093/bja/79.6.810