Patient (condition)
 
Aliases:
Eisenmenger's Syndrome

Topic aliases are alternate phrasings for a particular topic.


Chronic left to right shunting (>2:1 ratio) in uncorrected ASD, VSD, PDA leads to high PVR and eventual right to left shunting. refl.in/eisenmenger

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Prominant physical findings are central cyanosis, clubbing, and right ventricular heave.

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Polycythaemia is common. At increased risk of thrombotic complications. Consider preop phlebotomy for major surgery if HCT >55%. refl.in/eisenmenger

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Aim to avoid right to left cardiac shunt by maintaining left sided systemic pressures, and minimise rise in pulmonary vascular resistance. This right to left shunt may result in hypoxia and myocardial dysfunction refl.in/eisenmenger

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Avoid factors that can increase pulmonary vascular resistance PVR. Eg. hypercapnia, hypoxia, acidosis, hypothermia, nitrous, ketamine

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May 18, 2011
Although due to chronic vascular changes in lungs, PVR is less dynamic than systemic vascular resistance SVR. Therefore control of SVR is important.
Maintain high normal systemic vascular resistance (SVR) to maintain existing blood flow balance to lungs in the presence of a high pulmonary vascular resistance (PVR)

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