Anesthesia for Laparoscopic Cholecystectomy in a Patient with Eisenmenger’s Syndrome and Down’s Syndrome

Claire V Chatelain1, Océane J Jaquet1, Olivier Detry2, Julien Guiot3 and Jean L Joris1*

1Department of Anesthesia and Reanimation, CHU Liège, University of Liège, Belgium
2Service of Digestive Surgery, CHU Liège, University of Liège, Belgium
3Service of Pneumology, CHU Liège, University of Liège, Belgium

^*Correspondance to: Jean L Joris 

 PDF  Full Text DOI: 10.25107/2474-1647.3514

Abstract

Eisenmenger Syndrome (ES) may be defined in pathophysiologic terms as pulmonary arterial hypertension caused by a high pulmonary vascular resistance, with reversed or bidirectional shunt at aortopulmonary, ventricular, or atrial level. Perioperative management of patients with ES is challenging. Anesthetic management aims at avoiding factors that decrease systemic vascular resistance or increase PVR which would increase right to left shunt and hypoxemia. We report the case of a 45 years man with Eisenmenger’s syndrome and Down’s syndrome scheduled for laparoscopic cholecystectomy.

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Cite the article

Chatelain CV, Jaquet OJ, Detry O, Guiot J, Joris JL. Anesthesia for Laparoscopic Cholecystectomy in a Patient with Eisenmenger’s Syndrome and Down’s Syndrome. Clin Surg. 2022; 7: 3514..