Urgent Aortic Valve Replacement in Severe Aortic Stenosis with Severe Left Ventricular Dysfunction and Severe Pulmonary Hypertension: a Perioperative Multidisciplinary Management Approach. | [Anaesthesia, Pain and Intensive Care • 2017]

Author(s):

1. Mohammad Irfan Akhtar: Department of Anesthesiology, Aga Khan University Hospital, Stadium Road, Karachi, Pakistan

2. Sobia Butt: Department of Anesthesiology, Aga Khan University Hospital, Stadium Road, Karachi, Pakistan

3. Syed Shahabuddin: Department of Surgery, Aga Khan University, Hospital, Stadium Road, Karachi, Pakistan

4. Mohammad Hamid: Department of Anesthesiology, Aga Khan University Hospital, Stadium Road, Karachi, Pakistan

Abstract:

Severe aortic stenosis (AS) with reduced left ventricular systolic function and pulmonary artery hypertension (PH) is associated with poor outcome if remained untreated We report a case report of a 62 years old male patient weighing 69 kg had progressive dyspnea for 5 years and was diagnosed cardiac patient, and was scheduled for an urgent aortic valve replacement. He had severely reduced left ventricular (LV) function and severe pulmonary hypertension. The patient was put on bypass with special emphasis on myocardial protection. Tissue valve was placed and patient was successfully put off cardiopulmonary bypass on high inotrope score, which was tapered after some time. The patient was shifted to CICU after chest closure and was extubated on fast track mode. The patient was followed up for three months showing improvement in symptoms and LV function CASE REPORT The objective of reporting the case is to highlight the role of multidisciplinary integrated approach in the perioperative period for best patient outcome

Page(s): 1635-1640

DOI: 10.1016/j.athoracsur.2011.05.067

Published: Journal: Anaesthesia, Pain and Intensive Care, Volume: 21, Issue: 3, Year: 2017

Keywords:

Keywords are not available for this article.

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