Bentall Procedure in a Patient with Parkinson Disease

383 The Editor, A 65‐year‐old male weighing 60 kg presented with chest pain for 1 week. He was a known hypertensive and diabetic for past 19 years, and suffering from Parkinson disease (PD) for past 5 years. Echocardiography and computed tomography scan of the chest revealed acute Type 1 aortic dissection and moderate ventricular dysfunction. The patient was on tablet telmisartan, metoprolol, ramipril, glimepiride, syndopa plus (carbidopa 25 mg and levodopa 100 mg), trihexyphenidyl, and clonazepam. Pulmonary function test could not be done because of acuteness of the condition. His attendants were explained about the possibility of hemodynamic instability and additional neurological problems during the postoperative (PO) period due to the PD and levodopa therapy.