Perioperative management of a patient undergoing a novel mini-invasive percutaneous transcatheter left ventricular reconstruction procedure.
Survivors of myocardial infarction might have residual damage and higher risks of developing heart failure. This increasing complication encompasses up to 45% of all infarcts. As anesthesiologists we will have to perform anesthesia more frequently in patients with such challenging medical history schedule to undergo mini-invasive surgical procedures. We present the case of a 51-year-old man with severe heart failure post-myocardial infarction with multiple sclerosis undergoing a novel percutaneous transcatheter ventricular reconstruction via a left mini-thoracotomy. To guide the surgeon during the intervention we used a real-time 3D echocardiography, enlightening the fact that guidance is crucial for that kind of procedure. To lower postoperative pain and the inflammatory response we have administered successfully intravenous lidocaine, indicating that it is possible to avoid regional anesthesia in patients with multiple sclerosis scheduled for mini-invasive left ventricular reconstruction requiring a mini-thoracotomy.
CHU de Bordeaux, Service d'Anesthésie-Réanimation II, F-33000 Bordeaux, France. Electronic address: cedrick.zaouter@gmail.com.
Cedrick
C
Zaouter
Département de cardiologie 33600 Pessac, France.
Claire
C
Cornolle
Département de chirurgie cardiaque et vasculaire 33600 Pessac, France.
Louis
L
Labrousse
CHU de Bordeaux, Service d'Anesthésie-Réanimation II, F-33000 Bordeaux, France; Université de Bordeaux, Adaptation cardiovasculaire à l'ischémie, U1034, F-33600 Pessac, France; Université de Bordeaux et INSERM, Biologie des maladies cardiovasculaires, U1034, F-33600 Pessac, France.
Alexandre
A
Ouattara
D000779:Anesthetics, Local; D019560:Echocardiography, Three-Dimensional; D006333:Heart Failure / Q000150:complications* / Q000601:surgery; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D008012:Lidocaine; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D009103:Multiple Sclerosis / Q000150:complications*; D010149:Postoperative Pain / Q000188:drug therapy; D019990:Perioperative Care / Q000379:methods*; D013908:Thoracotomy / Q000379:methods; D018084:Ultrasonography, Interventional
D000779:Anesthetics, Local; D008012:Lidocaine
Lidocaine infusion; Mini-invasive left ventricular reconstruction; Multiple Sclerosis; Real-time echocardiography