title: [General anesthesia for a patient with Eisenmenger syndrome: a case report].
abstract: Generally, anesthesiologists believe that patients with Eisenmenger syndrome (ES) undergoing noncardiac surgery have significant risks of perioperative morbidity and mortality. Because of the recent strides in medical care, these patients often require anesthesia. We describe a case of a 45-year-old woman with ES and Down syndrome who underwent intraocular lens implantation under general anesthesia. She was refused general anesthesia for the surgery in other hospitals for more than 2 years. She had no adverse perioperative events, and was discharged the next day. Patients with ES have increased risks with general anesthesia for noncardiac surgery, but the risk of morbidity and mortality seems to be less than previously thought.
authors.affiliation: Department of Anesthesiology, Mitsui Memorial Hospital, Tokyo 101-8643.
authors.forename: Katsuyuki
authors.initials: K
authors.lastname: Terajima
authors.affiliation: Department of Anesthesiology, Mitsui Memorial Hospital, Tokyo 101-8643.
authors.forename: Motoi
authors.initials: M
authors.lastname: Yokotsuka
mesh_terms: D000768:Anesthesia, General / Q000379:methods*; D002386:Cataract / Q000150:complications; D002387:Cataract Extraction; D003490:Cyanosis / Q000517:prevention & control; D004541:Eisenmenger Complex / Q000150:complications*; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000517:prevention & control; D007431:Intraoperative Complications / Q000517:prevention & control; D019654:Lens Implantation, Intraocular; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D019990:Perioperative Care / Q000379:methods; D011183:Postoperative Complications / Q000517:prevention & control; D012306:Risk