Redo mitral valve replacement with tailored anaesthetic management and femorofemoral bypass enabled stable hemodynamics and successful discharge in a 48-year-old man undergoing third open-heart surgery.
Case Report (n=1)
No
Multidisciplinary planning and individualized anaesthetic strategies, including femorofemoral cannulation and invasive monitoring, enable successful outcomes in high-risk third-time open-heart surgeries.
Background: Anaesthetic management of patients undergoing third open-heart surgery presents significant challenges due to anatomical distortions, adhesions, and altered haemodynamics. Patients with complex comorbidities require meticulous planning to mitigate perioperative risks. Case description and management: This report presents the case of a 48-year-old man with severe mitral valve dysfunction and multiple comorbidities who underwent redo mitral valve replacement. A comprehensive anaesthetic management plan was tailored to the patient, incorporating invasive haemodynamic monitoring with a coordinated multidisciplinary strategy. Cardiopulmonary bypass was established using femorofemoral cannulation, ensuring haemodynamic stability during the procedure. Postoperative care involved vigilant monitoring of haemodynamic and respiratory complications. The patient experienced transient desaturation, which was effectively managed with targeted therapy. The patient was extubated on postoperative day three and discharged in stable condition. Conclusion: This case highlights the critical importance of multidisciplinary planning, individualised anaesthetic strategies, and proactive postoperative management in high-risk reoperative cardiac surgery to achieve favourable outcome.
Nuruzzaman et al. (Mon,) conducted a case report in 48-year-old man with severe mitral valve dysfunction and multiple comorbidities undergoing third open-heart surgery for mitral valve replacement (n=1). Redo mitral valve replacement with 25 mm On-X mechanical mitral valve under general anaesthesia, invasive hemodynamic monitoring, and femorofemoral cannulation cardiopulmonary bypass was evaluated on Successful open-heart surgery with stable postoperative recovery and discharge. Redo mitral valve replacement with tailored anaesthetic management and femorofemoral bypass enabled stable hemodynamics and successful discharge in a 48-year-old man undergoing third open-heart surgery.