Key result
Anesthetic management of a 62-year-old male with bivalvular mixed lesions undergoing gastrectomy required careful optimization and planning to handle fixed-output cardiac state and anemia.
Why the study?
Thorough knowledge of the pathophysiology of multiple and mixed valvular heart disease is required to achieve stable perioperative care during noncardiac surgery.
Case Report (n=1)
Careful anesthetic management and hemodynamic optimization are crucial for patients with multiple and mixed valvular heart disease undergoing noncardiac surgery.
May support tailored hemodynamic strategies in complex valvular disease for noncardiac surgery; leaves open confirmation in prospective studies.
A thorough knowledge of pathophysiology of multiple and mixed valvular heart disease is a requirement for a stable perioperative care. We present anesthetic management of a 62-year male patient with bivalvular mixed lesions with gastric adenocarcinoma for gastrectomy. Fixed-output cardiac state, anemia, maintenance of hemodynamic goals for longer duration, and postoperative analgesia were the anesthetic concerns. Hemodynamic aberrations can be inevitable in such scenario. Proper understanding of the lesions, optimization, preparation, and planning for anticipation of adverse hemodynamic events plays a crucial role for expecting a better clinical outcome.
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Kadni et al. (2022) conducted a case report in bivalvular mixed lesions and gastric adenocarcinoma (n=1). Anesthetic management was evaluated. Anesthetic management of a 62-year-old male with bivalvular mixed lesions undergoing gastrectomy required careful optimization and planning to handle fixed-output cardiac state and anemia.
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