Anaesthetic Considerations for Patients with Severe Aortic Stenosis

نویسندگان

  • Subhamay Ghosh
  • Lajos Bogar
  • Ahmed Sabry
چکیده

Valvular heart disease has significant effect on the outcome of practically any kind of surgical procedure involving general or regional anaesthesia. The most frequently encountered cardiac valve lesions produce pressure overload (mitral stenosis, aortic stenosis) or volume load (mitral regurgitation, aortic regurgitation) on the left atrium or left ventricle. Anaesthetic management during the perioperative period is based on the likely effects of drug induced changes in cardiac rhythm, heart rate, preload, afterload, myocardial contractility, systemic blood pressure, systemic vascular resistance and pulmonary vascular resistance relative to the pathophysiology of the heart disease.[1]

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

مقایسه نتایج درمانی بالون والوپلاستی و والوتومی جراحی در بیماران مبتلا به تنگی مادرزادی دریچه آئورت در پیگیری 6 ساله در بخش کودکان بیمارستان قلب شهید رجایی تهران

Background: Balloon valvuloplasty is a relatively new technique for relief of obstruction of aortic valve. The primary results of this procedure are similar to surgical valvotomy with fewer complications and mortality. Materials and methods: One hundred fifty-five patients with congenital aortic stenosis were enrolled in this study over a period of 6 years (1991-1997). Participants were all un...

متن کامل

Anaesthetic management of a parturient with pulmonary stenosis and aortic incompetence for Caesarean section.

Anaesthetic management of Caesarean section in a parturient with severe pulmonary stenosis and aortic regurgitation is described. The valvular sequelae resulted from previous unsuccessful surgical correction (Ross procedure) of congenital aortic stenosis. This case demonstrates the importance of multi-disciplinary assessment and careful anaesthetic planning, to avoid deterioration in perioperat...

متن کامل

SUPRAVALVAR AORTIC STENOSIS IN CHILDREN REPORT OF THIRTEEN CASES

During 15 years from 1975 to 1990, thirteen cases of supravalvar aortic stenosis were admitted at the pediatrics department of Shahid Rajai Heart Hospital, Tehran. All patients were subjected to cardiac catheterization and a angiocardiography. Patients ranged in age from 3.5 years to 14 years with a mean of 8.7 years. Seventy seven percent of childen were male. Eight cases (61.5%) had Wil...

متن کامل

Transcatheter aortic valve replacement in high risk patients with different anaesthetic techniques

INTRODUCTION Percutaneous retrograde transfemoral or transsubclavian aortic valve replacement is a minimally invasive method of aortic valve replacement in elderly and high-risk patients with symptomatic aortic stenosis considered too fragile to go through conventional heart surgery. The purpose of this study was to compare two different anaesthetic techniques for percutaneous retrograde transf...

متن کامل

Intensive care unit management of transcatheter aortic valve recipients.

Severe aortic stenosis is an increasingly prevalent disease that continues to be associated with significant mortality. Transcatheter aortic valve replacements have been used as an alternative to surgical aortic valve replacement in high-risk patients with multiple comorbidities. In this review, we discuss postoperative considerations pertinent to the successful management of these complicated ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2012