Anesthetic management for combined mitral valve replacement and aortic valve repair in a patient with osteogenesis imperfecta

被引:7
作者
Huang, Jiapeng [1 ]
Dinh, Michelle [2 ]
Kuchle, Nicholas [2 ]
Zhou, Jing [2 ]
机构
[1] Jewish Hosp & St Marys Hlthcare, Dept Anesthesia, Louisville, KY 40202 USA
[2] Univ Louisville, Dept Anesthesiol & Perioperat Med, Louisville, KY 40292 USA
关键词
Aortic valve repair; mitral valve replacement; osteogenesis imperfecta;
D O I
10.4103/0971-9784.81566
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Osteogenesis imperfecta is a rare disorder of connective tissues and presents multiple challenges, including difficult airway, hyperthermia, coagulopathy and respiratory dysfunction, for anesthesiologists, especially during cardiac surgery. We present anesthetic management of a patient with osteogenesis impertecta during double valve surgery. Dexmedetomidine infusion minimized the risks of malignant hyperthermia. Glidescope and in-line stabilization facilitated endotracheal intubation and protected his oral structures and cervical spine. Transesophageal echocardiography (TEE) diagnosed a flail A3 segment and redundant left coronary cusp causing mitral and aortic regurgitation. The mitral valve was replaced and the aortic valve repaired. Coagulopathy was corrected according to comprehensive coagulation analysis. Glidescope, dexmedetomidine, coagulation analysis and TEE could facilitate anesthetic management in these patients.
引用
收藏
页码:115 / 118
页数:4
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