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Published on: August 2, 2024
Perioperative Management of Lower Limb Surgery in a Patient with Asymptomatic Left Ventricular Systolic Dysfunction:
Saranya Nagalingam1, Arunkumaar Srinivasan2, Antony John Charles3
1Department of Cardiac Anaesthesiology, Sri Ramachandra Insititute of Higher Education and Research, Chennai, Tamil Nadu, India.
Abstract:
Heart failure poses significant challenges in perioperative settings, with an increasing prevalence in India. While much attention has been given to the management of symptomatic heart failure, there is a dearth of literature on asymptomatic left ventricular systolic dysfunction (ALVSD). In this case report, we present the successful perioperative management of a 35-year-old male with ALVSD and a low ejection fraction undergoing lower limb surgery under combined spinal epidural anesthesia. Our approach aimed to maintain hemodynamic stability, minimize myocardial overload, and mitigate the adverse effects of neuraxial blockade.
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