Intraoperative Hemodynamic Instability in a Patient With Ebstein's Anomaly Complicated With Eisenmenger Syndrome
Leonardo A. Marquez Roa, Jorge Araujo-Duran, Richard Hofstra, Jibran Ikram, Sabry Ayad · 2024
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Description
Leonardo Marquez Roa and co-authors describe, in a 2024 case report, the delicate anesthesia of a man whose heart defect had rewired his circulation. He carried Ebstein's anomaly, a displaced heart valve present from birth. With it came Eisenmenger syndrome, where pressure forces blood to shunt the wrong way through a hole in the heart. He needed robotic surgery on an adrenal gland.
During the operation his blood pressure wobbled and oxygen fell, signs that the right-to-left shunt was worsening. The team steadied him with vasopressors to hold up the body's resistance, gentle lung pressures, and close watching, aided by an ultrasound probe in the esophagus imaging the heart live. He came through well. The authors distill the lessons. In such patients, guarding the resistance that keeps blood flowing the right way is the whole game. Live heart imaging should be used whenever it is available.
Catalog record
| CREATOR | Leonardo A. Marquez Roa, Jorge Araujo-Duran, Richard Hofstra, Jibran Ikram, Sabry Ayad |
|---|---|
| YEAR | 2024 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 12 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |