Cholecystectomy under thoracic epidural anaesthesia for patient with severe intra‐pulmonary shunt

摘要

Pulmonary arteriovenous malformations are common in patients with hereditary haemorrhagic telangiectasia and can be associated with significant hypoxia and intra‐pulmonary shunt. We present a case of a young man with a known 57% calculated shunt requiring abdominal surgery and the multidisciplinary decisions required in the preoperative period to minimize post‐operative complications.