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Anaesthetic management of a patient with Eisenmenger syndrome and β-thalassemia major for splenectomy

By Nishkarsh Gupta, Sarbjot Kaur, Ajay Goila and Mridula Pawar

Abstract

We describe for the first time, the perioperative care of a patient with a rare combination of Eisenmenger syndrome with β-thalassemia major presenting for splenectomy. Patients with Eisenmenger syndrome have polycythemia because of chronic hypoxia but our patient was anaemic and had thrombocytopenia because of thalassemia major. The management of such a case can be challenging for any anaesthesiologist because of severe V/Q mismatch (high shunt fraction and restrictive lung disease because of hypersplenism), decreased oxygen carrying capacity (anaemia) and increased risk of haemorrhage (thrombocytopenia), along with the potential increase in intracardiac shunt during anaesthesia

Topics: Case Report
Publisher: Medknow Publications
OAI identifier: oai:pubmedcentral.nih.gov:3106397
Provided by: PubMed Central
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