Anesthetic management of a patient with prosthetic heart valve for non-cardiac surgery: A case report

BACKGROUND: Patients with prosthetic heart valves are a challenge to any anesthesiologist due to the risk of infective endocarditis, bleeding and thrombosis. CASE PRESENTATION: We present anesthetic management of a 58-year-old Indian lady with a prosthetic (mechanical) heart valve who underwent hemi...

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Detalles Bibliográficos
Autores principales: Umesh, Goneppanavar, Verma, Swati, Jasvinder, Kaur
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2569916/
https://www.ncbi.nlm.nih.gov/pubmed/18826632
http://dx.doi.org/10.1186/1757-1626-1-196
Descripción
Sumario:BACKGROUND: Patients with prosthetic heart valves are a challenge to any anesthesiologist due to the risk of infective endocarditis, bleeding and thrombosis. CASE PRESENTATION: We present anesthetic management of a 58-year-old Indian lady with a prosthetic (mechanical) heart valve who underwent hemireplacement arthroplasty. CONCLUSION: Patients with prosthetic heart valves, especially those with the mechanical valves are prone for thrombosis and resultant complications if anticoagulation is not maintained properly. However, when they are scheduled for major surgery, they can be best managed by normalising the coagulation profile immediately prior to surgery and restarting the anticoagulation as early as possible.

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