Perioperative management of a patient undergoing a novel mini-invasive percutaneous transcatheter left ventricular reconstruction procedure

Abstract Survivors of myocardial infarction might have residual damage and higher risks of developing heart failure. This increasing complication encompasses up to 45% of all infarcts. As anesthesiologists we will have to perform anesthesia more frequently in patients with such challenging medical h...

Full description

Saved in:
Bibliographic Details
Published in:Journal of clinical anesthesia 2016-08, Vol.32, p.203-207
Main Authors: Zaouter, Cedrick, MD, MSc, Cornolle, Claire, MD, Labrousse, Louis, MD, Ouattara, Alexandre, MD, PhD
Format: Article
Language:English
Subjects:
Anesthesia
Anesthesia & Perioperative Care
Anesthetics, Local
Blood clots
Cardiac arrhythmia
Cardiology and cardiovascular system
Echocardiography, Three-Dimensional
Heart attacks
Heart failure
Heart Failure - complications
Heart Failure - surgery
Heart Ventricles - surgery
Human health and pathology
Humans
Lidocaine
Lidocaine infusion
Life Sciences
Male
Medical prognosis
Middle Aged
Mini-invasive left ventricular reconstruction
Minimally Invasive Surgical Procedures - methods
Multiple Sclerosis
Multiple Sclerosis - complications
Ostomy
Pain Medicine
Pain, Postoperative - drug therapy
Patients
Perioperative Care - methods
Real-time echocardiography
Surgeons
Surgery
Thoracotomy - methods
Three dimensional imaging
Ultrasonography, Interventional
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Survivors of myocardial infarction might have residual damage and higher risks of developing heart failure. This increasing complication encompasses up to 45% of all infarcts. As anesthesiologists we will have to perform anesthesia more frequently in patients with such challenging medical history schedule to undergo mini-invasive surgical procedures. We present the case of a 51-year-old man with severe heart failure post-myocardial infarction with multiple sclerosis undergoing a novel percutaneous transcatheter ventricular reconstruction via a left mini-thoracotomy. To guide the surgeon during the intervention we used a real-time 3D echocardiography, enlightening the fact that guidance is crucial for that kind of procedure. To lower postoperative pain and the inflammatory response we have administered successfully intravenous lidocaine, indicating that it is possible to avoid regional anesthesia in patients with multiple sclerosis scheduled for mini-invasive left ventricular reconstruction requiring a mini-thoracotomy.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2016.01.049