Anesthesia management of a patient with PDA and Eisenmenger’s Syndrome: a case report

Patent ductus arteriosus (PDA) is a congenital heart defect characterized by the persistence of a fetal connection between the pulmonary artery and the aorta, resulting in abnormal blood flow.When left uncorrected, PDA can lead to pulmonary arterial hypertension and Eisenmenger syndrome.This disorder is characterized by the triad of large intra-or extracardiac congenital defect with an initial systemic-topulmonary shunt, PAH with shunt reversal (right-to-left) or bidirectional shunting, and hypoxemia with cyanosis.This challenging pathophysiology must be considered when delivering anesthesia, especially during intraoperative acute anesthesia events.We report a successful anesthesia management of a 30-year-old woman with Eisenmenger's syndrome who underwent an elective bilateral laparoscopic salpingectomy. Key Clinical MessageIn cases with Eisenmenger's syndrome, strict monitoring and rapid correction of hypotension is critical for successful anesthesia management even during low-risk elective surgeries.