Mitral valve prolapse (MVP) is a common valvular cardiac abnormality in the general population and is very rarely associated with Wolf Parkinson White (WPW) syndrome. These patients are prone for life threatening arrhythmias. Anaesthetics tend to change the electrophysiology of the atrio-ventricular conduction system and hence they tend to affect the behavior of the patient under anaesthesia. We present a case of mitral valve prolapse with WPW syndrome who underwent successful general anaesthesia for open nephrolithotomy.

Anatrophic nephrolithotomy is a urological procedure that is rarely performed in this minimally invasive endo urological era. However, it still remains an option in the management of complex staghorn calculus. A near complete removal of the large calculus in a single sitting will be more cost effective than multiple sittings required for minimally invasive procedures. We report anesthetic management of anatrophic nephrolithotomy which in many ways similar to the principles of renal transplantation.