Anesthetic management of a multiple and mixed cardiac valvular disease for noncardiac surgery: a case report | ||||
| The Egyptian Journal of Cardiothoracic Anesthesia | ||||
| Volume 16, Issue 2, September 2022 PDF (450.25 K) | ||||
| DOI: 10.4103/ejca.ejca_16_21 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Reena R. Kadni; Ranjan Nayak; Mita E. Sarkar; Laji Abraham Samuel | ||||
| Abstract | ||||
| A thorough knowledge of pathophysiology of multiple and mixed valvular heart disease is a requirement for a stable perioperative care. We present anesthetic management of a 62-year male patient with bivalvular mixed lesions with gastric adenocarcinoma for gastrectomy. Fixed-output cardiac state, anemia, maintenance of hemodynamic goals for longer duration, and postoperative analgesia were the anesthetic concerns. Hemodynamic aberrations can be inevitable in such scenario. Proper understanding of the lesions, optimization, preparation, and planning for anticipation of adverse hemodynamic events plays a crucial role for expecting a better clinical outcome. | ||||
| Keywords | ||||
| anesthetic challenges; Analgesia; fixed cardiac output; hemodynamic goals; multiple valvular cardiac disease | ||||
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