title: Anesthetic management and complications of percutaneous aortic valve implantation.
abstract: OBJECTIVE
  Aortic stenosis is a highly prevalent and life-threatening disease. In elderly patients with comorbidities, percutaneous valve implantation is an option. The aim of the study was to describe the anesthetic management and complications of general anesthesia.
  
  
  METHODS
  Case series with 30-day and 24-month follow-ups after implantation of the CoreValve device performed at the Institute of Cardiology/University Foundation of Cardiology between December 2008 and January 2012. The patients underwent general anesthesia monitored with mean arterial pressure (PAM), electrocardiogram (ECG), pulse oximetry, capnography, transesophageal echocardiography, thermometry, and transvenous pacemaker.
  
  
  RESULTS
  Twenty-eight patients, mean age 82.46 years, 20.98% mean EuroSCORE, functional class III/IV, successfully underwent valve implantation. Nine patients required permanent pacemaker implantation. During follow-up, two patients died: one during surgery due to LV perforation and the other on the third day of unknown causes. At 24 months, one patient diagnosed with multiple myeloma died. This anesthetic technique proved to be safe.
  
  
  CONCLUSIONS
  The initial experience with percutaneous aortic valve implantation under general anesthesia has proven to be safe and effective, with no significant anesthetic complications during this procedure.
authors.affiliation: Center for Teaching and Training (CET), Society of Anesthesiology (SANE), Porto AlegreInstitute of Cardiology/Fundacao Universitaria de Cardiologia de Porto Alegre, Brazil. tailurgrando@gmail.com
authors.forename: Tailur Alberto
authors.initials: TA
authors.lastname: Grando
authors.forename: Rogério
authors.initials: R
authors.lastname: Sarmento-Leite
authors.forename: Paulo Roberto
authors.initials: PR
authors.lastname: Lunardi Prates
authors.forename: Claudio Roberto
authors.initials: CR
authors.lastname: Gomes
authors.forename: Fabiana
authors.initials: F
authors.lastname: Specht
authors.forename: Alessandra Sarturi
authors.initials: AS
authors.lastname: Gheller
authors.forename: Guilherme
authors.initials: G
authors.lastname: Bernardi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000768:Anesthesia, General / Q000009:adverse effects*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D002648:Child; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design