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CASE REPORT
Year : 2012  |  Volume : 28  |  Issue : 1  |  Page : 101-105

Perioperative management of a patient with an axial-flow rotary ventricular assist device for laparoscopic ileo-colectomy


Department of Anesthesiology, Penn State Hershey Medical Center, Hershey, USA

Correspondence Address:
Subramanian Sathishkumar
Department of Anesthesiology, 500, University Drive, P.O.Box 850, Penn State Hershey Medical Center, Hershey, Pennsylvania 17033-0850
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9185.92456

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The use of mechanical circulatory support devices as a bridge to transplant or destination therapy decreases mortality, improves quality of life, and functional status. The paucity of clinical data and the challenges faced by noncardiac anesthesiologists warrant us to present the perioperative care of a patient with a HeartMate II (Thoratec Corp. Pleasanton, CA, USA) left ventricular assist device (LVAD), who underwent a successful major laparoscopic abdominal surgery. Key issues highlighted are the limitations of oxygen saturation (SpO 2 ) monitoring, accuracy of blood pressure (BP) measurement, and the potential usefulness of intraoperative transesophageal echocardiography (TEE). The hemodynamic changes, impact on the LVAD function during laparoscopic surgery, and the multidisciplinary approach are addressed.


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