Highlights the anesthetic management challenges in a patient with ischemic heart disease and anomalous coronary arteries undergoing noncardiac surgery.
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Alerts clinicians to rare perioperative risks; leaves open need for evidence-based protocols in anomalous coronaries.
Anesthetic management of patients with coronary artery disease undergoing noncardiac surgery is quite challenging. Such patients are at increased risk of perioperative cardiac complications and death. We report an illustrative case of a 62-year-old male with ischemic heart disease and anomalous coronary arteries for obstructed paraumbilical hernia repair.
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Bhargava et al. (2016) studied this question.
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