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Perioperative Management of Lower Limb Surgery in a Patient with Asymptomatic Left Ventricular Systolic Dysfunction: A Case Report. | LitMetric

AI Article Synopsis

  • Heart failure is a growing concern in surgical situations, especially in India, but there's limited research on asymptomatic left ventricular systolic dysfunction (ALVSD).
  • A case report highlights the successful management of a 35-year-old male with ALVSD and low ejection fraction during lower limb surgery using combined spinal epidural anesthesia.
  • The focus was on ensuring stable blood flow, reducing heart strain, and addressing potential complications from the anesthesia technique.

Article 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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610774PMC
http://dx.doi.org/10.4103/aca.aca_21_24DOI Listing

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