title: Double valve replacement in a patient with implantable cardioverter defibrillator with severe left ventricular dysfunction.
abstract: Recent data from landmark trials suggest that the indications for cardiac pacing and implantable cardioverter defibrillators (ICDs) are set to expand to include heart failure, sleep-disordered breathing, and possibly routine implantation in patients with myocardial infarction and poor ventricular function.[1] This will inevitably result in more patients with cardiac devices undergoing surgeries. Perioperative electromagnetic interference and their potential effects on ICDs pose considerable challenges to the anesthesiologists.[2] We present a case of a patient with automatic ICD with severe left ventricular dysfunction posted for double valve replacement.
authors.affiliation: Department of Cardiac Anesthesia, Apollo Hospital, Mysore, Karnataka, India.
authors.forename: Girish
authors.initials: G
authors.lastname: Manjunath
authors.affiliation: Department of Cardiac Anesthesia, Apollo Hospital, Mysore, Karnataka, India.
authors.forename: Prakash
authors.initials: P
authors.lastname: Rao
authors.affiliation: Department of Cardiothoracic Surgery, Apollo Hospital, Mysore, Karnataka, India.
authors.forename: Nagendra
authors.initials: N
authors.lastname: Prakash
authors.affiliation: Department of Cardiothoracic Surgery, Apollo Hospital, Mysore, Karnataka, India.
authors.forename: B K
authors.initials: BK
authors.lastname: Shivaram
mesh_terms: D002304:Cardiac Pacing, Artificial / Q000379:methods; D017147:Defibrillators, Implantable; D017548:Echocardiography, Transesophageal; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006351:Heart Valves / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging / Q000601:surgery*