Anesthetic management for a patient with Eisenmenger syndrome undergoing dacryocystorhinostomy: A case report

Park, Hee Yeon; Lee, Hee Dong; Kwak, Hyun Jeong; Lee, Ji Yeon; Kim, Hong Soon

Case Report

Cardiothoracic and Vascular Anesthesia

Anesthesia and Pain Medicine 2010;5(1):56-59.
Published online January 30, 2010.

Anesthetic management for a patient with Eisenmenger syndrome undergoing dacryocystorhinostomy: A case report

Hee Yeon Park, Hee Dong Lee, Hyun Jeong Kwak, Ji Yeon Lee, Hong Soon Kim

Department of Anesthesiology and Pain Medicine, Gachon University Medicine and Science, Incheon, Korea. khs@gilhospital.com

Abstract

Eisenmenger syndrome is defined as pulmonary hypertension at or close to systemic values, with an intracardiac or aortopulmonary communication resulting a bidirectional or right-to-left shunt.Patients with Eisenmenger syndrome require a close monitoring while undergoing non-cardiac surgery because these patients are very vulnerable to alteration in hemodynamics induced by anesthetics or surgery.Therefore we report the successful management of a patient with Eisenmenger syndrome undergoing a dacryocystorhinostomy under desflurane and ketamine based general anesthesia.

Key Words: Anesthetic management, Eisenmenger syndrome, Noncardiac surgery