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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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
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author Umesh, Goneppanavar
Verma, Swati
Jasvinder, Kaur
author_facet Umesh, Goneppanavar
Verma, Swati
Jasvinder, Kaur
author_sort Umesh, Goneppanavar
collection PubMed
description 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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spelling pubmed-25699162008-10-18 Anesthetic management of a patient with prosthetic heart valve for non-cardiac surgery: A case report Umesh, Goneppanavar Verma, Swati Jasvinder, Kaur Cases J 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 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. BioMed Central 2008-09-30 /pmc/articles/PMC2569916/ /pubmed/18826632 http://dx.doi.org/10.1186/1757-1626-1-196 Text en Copyright © 2008 Umesh et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Umesh, Goneppanavar
Verma, Swati
Jasvinder, Kaur
Anesthetic management of a patient with prosthetic heart valve for non-cardiac surgery: A case report
title Anesthetic management of a patient with prosthetic heart valve for non-cardiac surgery: A case report
title_full Anesthetic management of a patient with prosthetic heart valve for non-cardiac surgery: A case report
title_fullStr Anesthetic management of a patient with prosthetic heart valve for non-cardiac surgery: A case report
title_full_unstemmed Anesthetic management of a patient with prosthetic heart valve for non-cardiac surgery: A case report
title_short Anesthetic management of a patient with prosthetic heart valve for non-cardiac surgery: A case report
title_sort anesthetic management of a patient with prosthetic heart valve for non-cardiac surgery: a case report
topic Case Report
url 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
work_keys_str_mv AT umeshgoneppanavar anestheticmanagementofapatientwithprostheticheartvalvefornoncardiacsurgeryacasereport
AT vermaswati anestheticmanagementofapatientwithprostheticheartvalvefornoncardiacsurgeryacasereport
AT jasvinderkaur anestheticmanagementofapatientwithprostheticheartvalvefornoncardiacsurgeryacasereport

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