Perioperative management of polytrauma in a post MVR patient with severe left ventricular systolic dysfunction

R. V. Ranjan; Manikandan Sivasubramanian; Ramachandran .; Baranidharan Selvamani

R. V. Ranjan Department of Anesthesiology, Pondicherry Institute of Medical Sciences, Puducherry-605014 (India)
Manikandan Sivasubramanian Department of Anesthesiology, Pondicherry Institute of Medical Sciences, Puducherry-605014 (India)
Ramachandran . Department of Anesthesiology, Pondicherry Institute of Medical Sciences, Puducherry-605014 (India)
Baranidharan Selvamani Department of Anesthesiology, Pondicherry Institute of Medical Sciences, Puducherry-605014 (India)

Keywords: LV dysfunction, post mitral valve replacement, anticoagulation

Abstract

The anesthetic management of a patient with severe left ventricular dysfunction undergoing non cardiac surgery is a challenging task, as left ventricular systolic dysfunction (LVSD) is commonly complicated by progressive congestive heart failure and malignant arrhythmias. When the cause for LVSD is post valve replacement, additional complications like intraoperative thrombosis, bleeding and infective endocarditis need to be addressed peri-operatively. In such situations, the anesthesiologist must have the knowledge of hemodynamic changes, diagnostic and treatment modalities, as well as various drugs used during anesthesia. We report a case of post mitral valve replaced patient with severe LVSD posted for surgery of fracture of femur and facial fractures managed successfully during anesthesia.

Citation:Ranjan RV, Sivasubramanian M, Ramachandran TR, Selvamani B. Perioperative management of polytrauma in a post MVR patient with severe left ventricular systolic dysfunction. Anaesth Pain & Intensive Care 2014;18(4):455-57

Perioperative management of polytrauma in a post MVR patient with severe left ventricular systolic dysfunction

Abstract

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