title: Perioperative management of a patient with Gilberts syndrome and rheumatic heart disease.
abstract: Anaesthetic management of patients with hepatic dysfunction can be quite challenging, as many anaesthetic agents are metabolized by liver. Heart disease on anti coagulation can pose additional challenge. Here we report a case of Gilbert's syndrome with rheumatic heart disease on anti coagulation posted for elective hernia repair.
authors.affiliation: Department of Anaesthesiology, Pondicherry Institute of Medical Sciences, Puducherry, India.
authors.forename: R V
authors.initials: RV
authors.lastname: Ranjan
authors.forename: T R
authors.initials: TR
authors.lastname: Ramachandran
authors.forename: David George
authors.initials: DG
authors.lastname: Veliath
authors.forename: Diana
authors.initials: D
authors.lastname: Coelho