Non-Cardiac Surgery in Eisenmenger Syndrome: A Case Report and Review of Literature

Abstract

Devi Shanker Malik and B S Dhakad

Eisenmenger Syndrome (ES) is an uncommon complication of many congenital heart diseases, such as ventricular and atrial septal defect, and single ventricle [1]. With the increase in modern technologies in medical science, more and more patients with congenital heart diseases are surviving into adulthood and some even into the sixth and seventh decade [2]. As a result, many of them will undergo non-cardiac surgery in their lifetime [3]. Such patients of Eisenmenger syndrome are known to be at very high risk when undergoing Non-Cardiac Surgery (NCS) [4]. These patients are usually comparatively younger and are at lower risk of atherosclerotic coronary artery disease, but are at greater risk of arrhythmias, heart failure, paradoxical embolism or defect-specific complications [5].

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