PERIOPERATIVE MANAGEMENT OF PATENT DUCTUS ARTERIOSIS WITH EISENMENGERS SYNDROME WITH SEVERE PULMONARY HYPERTENSION POSTED FOR NON-CARDIAC SURGERY.

Victor Eisenmenger's initial definition of Eisenmengers syndrome was redefined by Wood as 'the presence of highpulmonary vascular resistance associated with pulmonary artery hypertension at or close to systemic pressureassociated with a reversed or bi-directional shunt at the aortopulmonary, interatrial or interventricular level'. Survivalbeyond 50 years is unusual, but patients may lead a relatively active and productive life in early adulthood and willtherefore present from time to time for noncardiac surgery. Though theoretical risks of anaesthesia are considerablepatients are known to do well with a variety of techniques, if pathophysiology of the disease is well understood.Wedescribe the anaesthetic management of the patient with Eisenmengers syndrome with abnormal uterine bleeding withmultiple fibroids.She underwent a total abdominal hysterectomy after pre-operative stabilization.Anaesthetizing such adecompensated patient is an anaesthetic challenge.