Open AccessAnesthetic management of a patient with large atrial septal defect undergoing laparoscopic cholecystectomy: A case report
Author(s) -
Yeon Soo Park,
Ji Yeon Kim
Publication year - 2020
Publication title -
saudi journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/sja.sja_638_19
Subject(s) - medicine , laparoscopic cholecystectomy , atrial fibrillation , hemodynamics , cholecystectomy , anesthesia , anesthetic , surgery , cardiology
A 51-year-old woman presented with symptomatic GB stone was planned for elective laparoscopic cholecystectomy. She had known osteum secondum type atrial septal defect, moderate pulmonary hypertension, and atrial fibrillation. We report the case of a patient with a large atrial septal defect (65 mm) and hemodynamic instability who underwent laparoscopic cholecystectomy under total intravenous anesthesia with careful hemodynamic monitoring. Thorough surveillance and effort could help to make the surgery successful.