Anesthesia for non-cardiac surgery in a patient with left ventricular assist device (LVAD)

  • Handan Gulec Ankara Yildirim Beyazit University, AYBU Esenboğa Campus, Çubuk, Ankara, Turkey
  • Guzin Ceran Ankara City Hospital, Üniversiteler Mahallesi Bilkent Cad. No: 1 Çankaya, Ankara, Turkey
  • Veysel Yasin Yomen Ankara City Hospital, Üniversiteler Mahallesi Bilkent Cad. No: 1 Çankaya, Ankara, Turkey
  • Mehmet Sahap Ankara Yildirim Beyazit University, AYBU Esenboğa Campus, Çubuk, Ankara, Turkey
  • Ayca Tuba Dumanlı Ozcan Ankara City Hospital, Üniversiteler Mahallesi Bilkent Cad. No: 1 Çankaya, Ankara, Turkey
  • Nermin Gogus Ankara City Hospital, Üniversiteler Mahallesi Bilkent Cad. No: 1 Çankaya, Ankara, Turkey
  • Eda Uysal Aydin Ankara City Hospital, Üniversiteler Mahallesi Bilkent Cad. No: 1 Çankaya, Ankara, Turkey
  • Ezgi Erkilic Ankara City Hospital, Üniversiteler Mahallesi Bilkent Cad. No: 1 Çankaya, Ankara, Turkey
Keywords: Left ventricular assist device, Anesthesia, Spinal, Heart transplantation

Abstract

Left ventricular assist devices (LVADs) are advanced mechanical devices for end-stage heart failure. LVADs are implanted as bridge therapy in the patient awaiting heart transplantation. A 44-year-old male patient was preoperatively evaluated for surgery due to femur fracture. In the medical history of the patient, it was learned that heart failure developed after myocarditis in 2009 and an intracardiac defibrillator (ICD) was implanted in 2014.we administered low-dose local anesthetic and opioid intrathecally, which we thought would affect the hemodynamics at least, and performed the operation with stable hemodynamics of the patient.

Key words: Left ventricular assist device; Anesthesia; Anesthesia, Spinal; Heart transplantation

Citation: Ceran G, Yomen VY, Sahap M, Gulec H, Ozcan ATD, Gogus N, Aydin EU, Erkilic E. Anesthesia for non-cardiac surgery in a patient with left ventricular assist device (LVAD). Anaesth. pain intensive care 2021;25(5):680–681

DOI: 10.35975/apic.v25i5.1637

Received: April 19, 2021, Reviewed: August 17, 2021, Accepted: August 21, 2021

 

Published
09-30-2021
How to Cite
Gulec, H., Ceran, G., Yomen, V., Sahap, M., Ozcan, A. T., Gogus, N., Aydin, E. U., & Erkilic, E. (2021). Anesthesia for non-cardiac surgery in a patient with left ventricular assist device (LVAD). Anaesthesia, Pain & Intensive Care, 25(5), 680–681. https://doi.org/10.35975/apic.v25i5.1637
Section
Case Reports