Key result
Tailored anaesthetic management and invasive monitoring enable uneventful multivalvular surgery and submitral aneurysm repair.
Why the study?
Submitral aneurysm is a rare cardiac condition that presents perioperative anaesthetic challenges, especially with comorbid pulmonary hypertension and severe valvular disease.
Case Report (n=1)
This case highlights that complex multivalvular surgery complicated by submitral aneurysm and pulmonary hypertension can be successfully managed with personalized anaesthetic care, precise invasive monitoring, and multidisciplinary coordination.
Answers are grounded in this paper and cite their sources.
May support tailored hemodynamic monitoring in complex valvular surgery with PH; hypothesis-generating and requires prospective validation.
Submitral Aneurysm (SMA) is a rare cardiac condition that presents with perioperative anaesthetic complications, especially with comorbidities such as Pulmonary Hypertension (PH) and severe valvular disease. The case reported is a 21-year-old female with a medical illness history of rheumatic heart disease, severe mitral and Tricuspid Regurgitation (TR), PH, and basal SMA. She was admitted with palpitations, dyspnoea, and cough. Preoperative assessment revealed ventricular dysfunction and pulmonary disease. She was to undergo general anaesthesia for Mitral Valve Replacement (MVR), tricuspid valve repair, and SMA repair. Anaesthesia management included maintaining cardiac output, preserving right ventricular function, and controlling pulmonary pressures. Invasive monitoring and intraoperative echocardiography were used. Postoperative intensive care unit management was carried out, and ventilatory support was weaned on the 2nd postoperative day. The postoperative course was uneventful, with enhanced functional capacity and satisfactory echocardiographic parameters at follow-up. The case highlights the complexity of anaesthetic care for multivalvular heart disease with SMA and PH. It underscores the need for personalised treatment, precise monitoring, and multidisciplinary care for successful management.
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Gummalla et al. (2026) conducted a case report in Multivalvular heart disease, submitral aneurysm, and pulmonary hypertension (n=1). Anaesthetic management with invasive monitoring and intraoperative echocardiography was evaluated on Postoperative course and functional capacity. Tailored anaesthetic management including invasive monitoring enabled successful multivalvular surgery and submitral aneurysm repair in a 21-year-old female, leading to an uneventful recovery.
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