Open AccessCholecystectomy under thoracic epidural anaesthesia for patient with severe intra‐pulmonary shunt
Author(s) -
Frankel Agustina,
Ferris Rebekah,
Hodgkinson Peter,
Ellender Claire M.
Publication year - 2020
Publication title -
respirology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 9
ISSN - 2051-3380
DOI - 10.1002/rcr2.543
Subject(s) - medicine , shunt (medical) , surgery , anesthesia , hypoxia (environmental) , cardiothoracic surgery , cholecystectomy , radiology , chemistry , organic chemistry , oxygen
Pulmonary arteriovenous malformations are common in patients with hereditary haemorrhagic telangiectasia and can be associated with significant hypoxia and intra‐pulmonary shunt. We present a case of a young man with a known 57% calculated shunt requiring abdominal surgery and the multidisciplinary decisions required in the preoperative period to minimize post‐operative complications.