title: [Anesthetic Management of a 69-year-old Patient with Eisenmenger Syndrome for Abdominoperineal Resection].
abstract: Although life expectancy of the patients with Eisenmenger syndrome (ES) is currently reported to be lower than 40 years, life span of the patients with ES may be extended because of development of medical care. According to recently reported middle-aged patients with ES undergoing non-cardiac surgeries, per-operative mortality and morbidity of the patients with ES undergoing non-cardiac surgeries may be lower than previously thought, and even elderly patients may be able to undergo major surgeries such as laparotomies for cancers. We described the anesthetic management of a 69-year-old patient with ES who had undergone abdominoperineal resection. In the anesthetic management it is important to maintain adequate blood volumne and systemic vascular resistance and this avoids increases of right-to-left shunt. Perioperative monitoring of pulmonary arterial pressure was useful for hemodynamic management. Good pain control and management of body temperature were also needed for a perioperative course with no adverse events. The appropriate anesthetic management of the 69-year-old patient with ES for abdominoperineal resection resulted in the successful perioperative course.
authors.forename: Toru
authors.initials: T
authors.lastname: Tamii
authors.forename: Akiko
authors.initials: A
authors.lastname: Yoshida
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Ito
authors.forename: Kei
authors.initials: K
authors.lastname: Nagaya
mesh_terms: D000005:Abdomen / Q000601:surgery*; D000368:Aged; D004541:Eisenmenger Complex / Q000150:complications*; D006439:Hemodynamics; D006801:Humans; D007813:Laparotomy; D008297:Male; D012004:Rectal Neoplasms / Q000601:surgery*; D014655:Vascular Resistance