Anesthetic management for laparoscopic cholecystectomy in a patient with severe mitral regurgitation and severely depressed cardiac function

  • Pallavi Butiyani Department of Anesthesiology, Noble Hospital, Pune – 411013, Maharashtra, (India)
  • Jalpesh Kapuriya Department of Anesthesiology, Noble Hospital, Pune – 411013, Maharashtra, (India)
Keywords: Laparoscopic cholecystectomy, Rheumatic heart disease, Mitral regurgitation

Abstract

Severe mitral valve disease in an elderly patient, may exhibit serious hemodynamic disturbance and pose a great challenge to the anesthesiologist. During laparoscopy, positive pressure pneumoperitonium with carbon dioxide insufflation has additional deleterious effects on hemodynamic stability. This case report describes successful management of a patient with severe mitral regurgitation scheduled to undergo laparoscopic cholecystectomy. It highlights the importance of adequate optimization, perioperative monitoring and use of preemptive regional anesthesia.

Published
01-18-2019
How to Cite
Butiyani, P., & Kapuriya, J. (2019). Anesthetic management for laparoscopic cholecystectomy in a patient with severe mitral regurgitation and severely depressed cardiac function. Anaesthesia, Pain & Intensive Care, 22(2), 231-237. Retrieved from https://apicareonline.com/index.php/APIC/article/view/31
Section
Case Reports