Perioperative management of a patient with Gilberts syndrome and rheumatic heart disease

Abstract

Anaesthetic management of patients with hepatic dysfunction can be quite challenging, as many anaesthetic agents are metabolized by liver. Heart disease on anti coagulation can pose additional challenge. Here we report a case of Gilbert′s syndrome with rheumatic heart disease on anti coagulation posted for elective hernia repair.

Keywords

• Anti coagulation
• Gilbert′s syndrome
• hepatic dysfunction