title: Aortic valve replacement in a patient with systemic lupus erythematosus.
abstract: Valvular heart disease in systemic lupus erythematosus (SLE) is associated with substantial morbidity and mortality. Current therapy includes symptomatic measures and valve replacement. SLE can present major challenges because of accrued organ damage, coagulation defects and complex management regimes. The peri-operative goals are to maintain strict asepsis, avoid use of nephrotoxic drugs and thereby renal insult, and to promote early ambulation post-operatively.
authors.affiliation: Department of Anesthesiology, Escorts Heart Institute and Research Centre Ltd, Okhla Road, New Delhi, India.
authors.forename: Bhuvnesh
authors.initials: B
authors.lastname: Kansara
authors.forename: Ajmer
authors.initials: A
authors.lastname: Singh
authors.forename: Anil
authors.initials: A
authors.lastname: Karlekar
authors.forename: Yugal K
authors.initials: YK
authors.lastname: Mishra
keywords: Anesthesia; aortic valve replacement; systemic lupus erythematosus