Anesthetic management of a patient with obstructive prosthetic aortic valve dysfunction: a case report.
10.4097/kjae.2014.66.2.160
- Author:
Bo Ra LEE
1
;
Jeong Rim LEE
;
Min Soo KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea. kmsviola@yuhs.ac
- Publication Type:Case Report
- Keywords:
Aortic valve stenosis;
Echocardiography;
Heart valve prosthesis;
Thrombosis
- MeSH:
Aortic Valve Stenosis;
Aortic Valve*;
Drainage;
Echocardiography;
Female;
Heart Valve Prosthesis;
Hematoma, Subdural, Chronic;
Hemodynamics;
Humans;
Middle Aged;
Thrombosis
- From:Korean Journal of Anesthesiology
2014;66(2):160-163
- CountryRepublic of Korea
- Language:English
-
Abstract:
We present a 55-year-old female patient who underwent burr-hole drainage due to chronic subdural hematoma, with obstructive prosthetic aortic valve dysfunction. Anesthetic management of a patient with severe obstructive prosthetic aortic valve dysfunction can be challenging. Similar considerations should be given to patients with aortic stenosis with an additional emphasis on thrombotic complication due to discontinuation of anticoagulation, which may further jeopardize the valve dysfunction. This case emphasizes the importance of a comprehensive understanding of the etiology and hemodynamic consequences of obstructive prosthetic valve dysfunction and the adequacy of anticoagulation for patients undergoing noncardiac surgery even after a successful valve replacement.
