Anesthetic management of a patient with Fahr s disease, dextrocardia, and right lung agenesis: a case report

Fahr's disease is a rare neurological disorder characterized by bilateral brain and vascular calcifications, often presenting with parkinsonism, cognitive decline, and neuromuscular abnormalities.We report the case of a 42-year-old male with Fahr's disease, right lung agenesis, and dextrocardia undergoing elective laparoscopic cholecystectomy.General anesthesia was induced with fentanyl, lidocaine, propofol, and rocuronium, maintaining intraoperative stability.Despite the challenges posed by pneumoperitoneum and pre-existing conditions, the patient was extubated without complications.This report demonstrates that standard anesthetic practices and intraoperative monitoring ensured a safe outcome in a patient with Fahr's disease, dextrocardia, and right lung agenesis, highlighting the adequacy of conventional strategies even in complex clinical scenarios.