Anesthesia for an elderly female with a rare congenital heart disease – A case report

We present a case of female patient 78 year old with long standing Eisenmenger syndrome. Her ECHO cardiography showed ejection fraction 57%, dextrocardia, large VSD 1.4cm with right to left shunt with systolic pressure gradient 70mmHg, moderate to severe TR, moderate MR, dilated and hypertrophied RV with preserved systolic function, hugely dilated right atrium, and severe pulmonary hypertension with pulmonary artery systolic pressure 125mmHg. The patient had future neck femur, arthroplasty under hemi spinal anesthesia. After one month she presented to us with dislocated joint, and hemiarthroplasty under hemispinal anesthesia was done again.
Source: Egyptian Journal of Anaesthesia - Category: Anesthesiology Source Type: research