Anesthesia in an adult patient with patent ductus arteriosus

The survival rate of neonates with congenital heart disease has increased manifold due to advancement in both surgical and medical management. A small percentage of adults present with unrepaired or inadequately repaired congenital cardiac defects. They pose a challenge on the operation table due to altered hemodynamics. A comprehensive understanding of the congenital defect and an apt plan of anesthesia are essential for successfully managing such patients.