Anesthetic Management of a Patient of Valvular Heart Disease Posted for Inguinal Hernioplasty: A Case Report


Authors : Dr. Mrunmayee S Joshi; Dr. Sanhita J Kulkarni; Dr. Vasanti M Sasturkar

Volume/Issue : Volume 7 - 2022, Issue 10 - October

Google Scholar : https://bit.ly/3IIfn9N

Scribd : https://bit.ly/3Xdh0EN

DOI : https://doi.org/10.5281/zenodo.7336329

Abstract : Patients with valvular heart diseases are a challenge to anesthesiologists. A complete understanding of pathophysiology of valvular lesions is necessary for planning anesthesia and perioperative management for such patients. Here, we report successful anaesthetic management of a 36year old patient with previously diagnosed Rheumatic valvular heart disease (severe mitral stenosis with aortic stenosis) undergoing right sided inguinal mesh hernioplasty. In such patients, Ilioinguinal and Iliohypogastric nerve block offer an excellent alternative to neuraxial blockade and general anaesthesia.

Patients with valvular heart diseases are a challenge to anesthesiologists. A complete understanding of pathophysiology of valvular lesions is necessary for planning anesthesia and perioperative management for such patients. Here, we report successful anaesthetic management of a 36year old patient with previously diagnosed Rheumatic valvular heart disease (severe mitral stenosis with aortic stenosis) undergoing right sided inguinal mesh hernioplasty. In such patients, Ilioinguinal and Iliohypogastric nerve block offer an excellent alternative to neuraxial blockade and general anaesthesia.

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