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Anaesthetic Management of a Case with Severe Aortic Stenosis Posted for Ureteroscopy - A Case Report


Affiliations
1 JSS Medical College, Mysuru, India

Patients with severe aortic stenosis carry a significant risk of cardiovascular mortality and morbidity when subjected to surgery and anaesthesia. In symptomatic patients with severe aortic stenosis, only urgent non-cardiac surgery should be performed under careful haemodynamic monitoring. Aortic valve replacement should be considered before elective non-cardiac surgery. In asymptomatic patients with severe aortic stenosis, aortic valve replacement should be considered before non-cardiac high-risk surgery. Maintaining hemodynamic stability is the ultimate goal of anaesthetic management in these patients.

Keywords

Aortic Stenosis, Ejection Fraction, Global Hypokinesia, Ureteroscopy.
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  • Dsouza MC, Shivappagoudar VM, Kedlaya A, Gonsalvez GJ.Anaesthetic management of a patient with severe aortic stenosis for caesarean section: a case report. Int J Res Med Sci 2015;3: 2854-6
  • Ideno S, Yamada T, Takeda J. "Anesthetic management of a patient with severe aortic stenosis undergoing spine surgery " Masui. 2013; 62(6):721-3

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  • Anaesthetic Management of a Case with Severe Aortic Stenosis Posted for Ureteroscopy - A Case Report

Abstract Views: 106  | 

Authors

Pooja
JSS Medical College, Mysuru, India
C. L. Gurudutt
JSS Medical College, Mysuru, India
Sarika M. Shetty
JSS Medical College, Mysuru, India

Abstract


Patients with severe aortic stenosis carry a significant risk of cardiovascular mortality and morbidity when subjected to surgery and anaesthesia. In symptomatic patients with severe aortic stenosis, only urgent non-cardiac surgery should be performed under careful haemodynamic monitoring. Aortic valve replacement should be considered before elective non-cardiac surgery. In asymptomatic patients with severe aortic stenosis, aortic valve replacement should be considered before non-cardiac high-risk surgery. Maintaining hemodynamic stability is the ultimate goal of anaesthetic management in these patients.

Keywords


Aortic Stenosis, Ejection Fraction, Global Hypokinesia, Ureteroscopy.

References





DOI: https://doi.org/10.18311/isacon-Karnataka%2F2017%2FEP115