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Corpus Journal of Case Reports


Octogenarian with Severe Left Ventricular Dysfunction and Cardiac Resynchronization TherapyDefibrillator Device: Successful Anesthesia Management for Hip Arthroplasty

Case Report
Volume 3 - Issue 3 | Article DOI : 10.54026/CJCR/1024

Harikrishnan Raj Thianesh1 , Ashish Bangaari2*, Trevor Nair1 , Krishnamoorthy Jaishankar3

1Department of Anaesthesia, MIOT International, Chennai, Tamil Nadu, India
2Department of Liver Transplant Anaesthesia and Critical Care, MIOT International, Chennai, Tamil
Nadu, India
3Department of Interventional Cardiology, MIOT International, Chennai, Tamil N?du, India

Corresponding Authors

Dr. Ashish Bangaari, MD/Consultant Anaesthesia Department of Liver Transplant Anaesthesia and Critical Care, MIOT International, Chennai, Tamil Nadu, India

Keywords

CRT-D; Cardiac Resynchronization Therapy Defibrillator; Anesthesia; Arthroplasty; Heart Failure; Left Ventricle; Electromagnetic Interference

Received : July 22, 2022
Published : July 29, 2022

ABSTRACT

Cardiac resynchronization therapy has emerged as a key component in management of advanced heart failure with reduced ejection fraction in selected subset of geriatric patients. The burgeoning burden of comorbidities, complexity of these devices and aging population presenting for surgeries necessitates peri-operative physicians to be cognizant and confident to handle these challenging cases. Limited literature about anesthesia management of patients implanted with these devices add to the situational challenge. We present a case of elderly gentleman with ischemic cardiomyopathy and cardiac resynchronization therapy-defibrillator device who underwent hip replacement under general anesthesia. Understanding the disease and the device are the crucial and definitive exigencies to manage such cases.