Introduction:

surgery in patients with Down syndrome and unrepaired tetralogy of Fallot is infrequent, but sometimes the anesthesiologist must provide services to these patients for non-cardiac emergency surgeries.

Case presentation:

white male patient, 36 years old, with a history of Down syndrome and unrepaired Fallot's tetralogy, with abdominal pain of three days of evolution in the epigastrium and irradiation to the right iliac fossa, without relief at rest or at rest. administration of analgesics; accompanied by nausea, vomiting and catarrhal symptoms.

Discussion:

it was evaluated by surgery and an acute surgical abdomen was diagnosed for possible acute appendicitis and under general or tracheal anesthesia it was operated with favorable results.

Conclusions:

the administration of general anesthesia in the anesthesiological conduction of the patient with Down syndrome and unrepaired tetralogy of Fallot for urgent abdominal surgery allows satisfactory results during the procedure.

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