ABSTRACT
Non-valvular heart disease is an important cause of cardiac disease in pregnancy and presents a unique challenge to the anesthesiologist during labor and delivery. A keen understanding of the underlying pathophysiology, in addition to the altered physiology of pregnancy, is the key to managing such patients. Disease-specific goals of management may help preserve the hemodynamic and ventilatory parameters within an acceptable limit and a successful conduct of labor and postpartum period..
Subject(s)
Anesthesia, General/methods , Anesthesia, Obstetrical/methods , Cardiomyopathies/physiopathology , Cardiomyopathies/surgery , Eisenmenger Complex/physiopathology , Eisenmenger Complex/surgery , Female , Heart Defects, Congenital/physiopathology , Heart Defects, Congenital/surgery , Heart Diseases/physiopathology , Heart Diseases/surgery , Humans , Hypertension, Pulmonary/physiopathology , Hypertension, Pulmonary/surgery , Myocardial Infarction/physiopathology , Myocardial Infarction/surgery , Pregnancy/physiology , Pregnancy Complications, Cardiovascular/physiopathology , Pregnancy Complications, Cardiovascular/surgery , Tetralogy of Fallot/physiopathology , Tetralogy of Fallot/surgeryABSTRACT
El Síndrome de Eisenmenger es un cuadro clínico caracterizado por hipertensión pulmonar y cortocircuito de derecha a izquierda, generalmente secundario a cardiopatías congénitas no solucionadas oportunamente. La mortalidad perioperatoria para cirugía no cardiaca en la edad adulta de este tipo de pacientes puede alcanzar valores cercanos a 20%. Se presenta el caso de una paciente adulta, portadora de síndrome de Eisenmenger sometida a cirugía radical de oído bajo anestesia general. Se revisa la literatura y se discuten algunas implicancias para el anestesiólogo.
The Eisenmenger's Syndrome can be defined as a clinical condition with pulmonary hypertension, and right to left shunt, due to unsolved congenital heart diseases. Perioperative mortality if undergo non cardiac surgery in the adulthood, can be as high as 20%. We report a case of an adult patient with Eisenmenger's syndrome who underwent ear surgery under general anesthesia. A review of the literature is presented. Specific anesthesia procedures are suggested.
Subject(s)
Humans , Female , Adult , Anesthesia, General , Eisenmenger Complex/surgery , Eisenmenger Complex/complications , Intraoperative ComplicationsABSTRACT
Heart-lung transplantation is a well accepted and standard form of therapy for the surgical management of patients with end-stage cardiopulmonary disorders. The first heart-lung transplant in India was performed at our institution on May 3, 1999 and, subsequently, 2 more patients have undergone this procedure. The initial experience is encouraging and heralds a new era of thoracic organ transplantation in India.