Aortic valve bypass: a case summary and discussion of anesthesia considerations.

Aortic valve replacement (AVR) is a common surgical intervention for symptomatic aortic stenosis. For many high-risk patients with severe symptomatic aortic stenosis, AVR is not an option. Aortic valve bypass (AVB), a less common surgical procedure compared to AVR surgery, can bypass a stenotic aortic valve in lieu of replacing it and can offer surgical intervention for candidates unable to undergo AVR. AVB is an alternative to AVR that avoids median sternotomy, cardiopulmonary bypass, cross clamping the aorta, manipulation of the native aortic valve, and aortic cannulation. This case summary reviews the anesthetic management of a patient undergoing AVB.