[Anesthesia for a very elderly patient with aortic stenosis]

Aortic stenosis is a significant risk factor for the development of cardiac complications after noncardiac surgery. Based on this reason, the American College of Cardiology-American Heart Association 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery recommend elective noncardiac surgery should generally be postponed or canceled in patients with symptomatic aortic stenosis. The present report describes the case of a 94-year-old male patient with aortic stenosis who underwent emergency abdominal surgery under general anesthesia and orthopedic surgery under spinal anesthesia. Anesthetic management was successful with no complications. In the present case, appropriate choice of anesthetic technique and agent optimized anesthetic management of a very elderly patient with aortic stenosis.