title: Hip Hemiarthroplasty in Two Patients with Severe Aortic Stenosis: Ethical Questions from an Anesthesiologist's Perspective.
abstract: As the population ages, geriatric patients with preexisting cardiac disease are presenting for noncardiac surgery in escalating numbers. The decision to proceed with surgery in such patients often is multifactorial. With this in mind, we describe 2 patients with severe aortic stenosis who required hip operations: one urgent and one elective. Both patients had different anesthetic plans and did well intraoperatively. However, both patients died postoperatively because of their comorbidities. Although published guidelines are sparse, we hope this report will increase awareness and discussion about caring for geriatric patients with severe aortic stenosis.
authors.affiliation: From the Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, Charleston, South Carolina.
authors.forename: Julie R
authors.initials: JR
authors.lastname: McSwain
authors.forename: Jennifer R
authors.initials: JR
authors.lastname: Matos
authors.forename: Brystol L
authors.initials: BL
authors.lastname: Henderson
authors.forename: Sylvia H
authors.initials: SH
authors.lastname: Wilson
mesh_terms: D000369:Aged, 80 and over; D000768:Anesthesia, General / Q000379:methods*; D000776:Anesthesiology / Q000941:ethics*; D001024:Aortic Valve Stenosis / Q000150:complications*; D017809:Fatal Outcome; D005260:Female; D005265:Femoral Neck Fractures / Q000150:complications / Q000601:surgery; D062785:Hemiarthroplasty; D006615:Hip / Q000601:surgery; D006801:Humans; D015207:Osteoarthritis, Hip / Q000150:complications / Q000601:surgery; D010348:Patient Care Team; D011183:Postoperative Complications