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Published on: May 26, 2023
Anesthetic Challenges for Posterior Spine Surgery in a Patient With Left Ventricular Assist Device: A Case Report
J Pablo Kollmar1, Douglas A Colquhoun, Julie L Huffmyer
1From the *Department of Anesthesiology, University of Virginia, Charlottesville, Virginia; and †Department of Anesthesiology, University of Michigan, Ann Arbor, Michigan.
Abstract:
With the growing rate of left ventricular assist device (LVAD) implantation, patients with end-stage heart failure and LVAD support are presenting for a variety of noncardiac surgeries. We describe a case of urgent posterior lumbar decompression for spinal stenosis in a 73-year-old man with HeartMateII LVAD, which presented significant anesthetic challenges in terms of positioning, blood loss, and coagulopathy.
