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Anesthetic Considerations Concerning VSD a Patient with Eisenmenger's Syndrome: A case report / 대한마취과학회지
Korean Journal of Anesthesiology ; : 715-720, 1999.
Article in Korean | WPRIM | ID: wpr-193032
ABSTRACT
Eisenmenger's syndrome includes any condition in which communication between the pulmonary and systemic circulations gives rise to pulmonary vascular disease causing a right to left shunt with peripheral cynosis. The theoretical risks of anesthesia in patients with Eisenmenger's syndrome are considerable. We report on the case of a 47-year-old female patient with Eisenmenger's syndrome secondary to ventricular septal defect for transabdominal hysterectomy. Of prime concern was the maintenance of sytemic vascular resistance, and this was achieved using an infusion of phenylephrine started before the induction of anesthesia; the infusion continued after the operation. We carefully performed general anesthesia with N2O-O2-ketamine-fetanyl-enflurane. The patient was discharged for home 8 days later without complications.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Phenylephrine / Vascular Diseases / Vascular Resistance / Eisenmenger Complex / Heart Septal Defects, Ventricular / Hysterectomy / Anesthesia / Anesthesia, General Limits: Female / Humans Language: Korean Journal: Korean Journal of Anesthesiology Year: 1999 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Phenylephrine / Vascular Diseases / Vascular Resistance / Eisenmenger Complex / Heart Septal Defects, Ventricular / Hysterectomy / Anesthesia / Anesthesia, General Limits: Female / Humans Language: Korean Journal: Korean Journal of Anesthesiology Year: 1999 Type: Article