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Total Intravenous Anaesthesia in a Patient with Eisenmenger Syndrome: Case Report

Arpita Saxena, Trilokchand, Apurva Mittal and Parimal

EisenmengerÂ’s syndrome is defined as the process in which a left-to-right shunt caused by a congenital heart defect causes increased flow through the pulmonary vasculature, causing pulmonary hypertension which causes increased pressures in the right side of the heart and reversal of the shunt into a right-to-left shunt. It can occur with complex congenital cardiac malformations, septal defects, and patent ductus arteriosus (PDA). Patients with EisenmengerÂ’s syndrome are at high risk for peripartum morbidity andmortality[1]. We report the administration of intravenous ketamine with use of upper extremity pulse oximetry in a patient with EisenmengerÂ’s syndrome secondary to a VSD undergoing endometrial curettage.