Anesthetic Management of Pulmonary Stenosis in a Pediatric Patient with Chronic Renal Disease Posted for Laparoscopic Continuous Ambulatory Peritoneal Dialysis Repositioning

The presence of a progressive congenital valvular heart disease in a pediatric patient, can pose a challenge to anaesthetists in planning for incidental surgeries. Most of the available case reports from various journals describe the anaesthetic management in adults, whereas, pulmonary stenosis can present anytime during childhood and adolescence. The present case-report highlights anaesthetic management in a 9-year-old child, who was diagnosed with moderate pulmonary stenosis , with no availability of current severity grading of peak pressure gradients, along with underlying renal failure posted for an emergency laparoscopic procedure.