Awake transapical aortic valve implantation using thoracic epidural anesthesia

Chirojit Mukherjee; Thomas Walther; Michael Andrew Borger; Joerg Kempfert; Gerhard Schuler; Friedrich Wilhelm Mohr; Joerg Ender

doi:10.1016/j.athoracsur.2009.01.052

Awake transapical aortic valve implantation using thoracic epidural anesthesia

Ann Thorac Surg. 2009 Sep;88(3):992-4. doi: 10.1016/j.athoracsur.2009.01.052.

Authors

Chirojit Mukherjee¹, Thomas Walther, Michael Andrew Borger, Joerg Kempfert, Gerhard Schuler, Friedrich Wilhelm Mohr, Joerg Ender

Affiliation

¹ Department of Anesthesiology, Heart Center Leipzig, University Leipzig, Leipzig, Germany. chirojit.mukherjee@med.uni-leipzig.de

PMID: 19699938
DOI: 10.1016/j.athoracsur.2009.01.052

Abstract

Transapical aortic valve implantation is a minimally invasive, beating-heart procedure that normally requires a general anesthetic. We herein report an 85-year-old patient with impaired pulmonary function who underwent successful transapical aortic valve implantation while awake, using a thoracic epidural anesthetic.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Amides*
Anesthesia, Epidural*
Anesthetics, Local*
Aortic Valve Stenosis / diagnostic imaging
Aortic Valve Stenosis / surgery*
Cardiopulmonary Bypass
Echocardiography
Fentanyl*
Heart Valve Prosthesis Implantation / methods*
Heart Ventricles / surgery
Humans
Male
Minimally Invasive Surgical Procedures / methods*
Postoperative Complications / diagnostic imaging
Ropivacaine

Substances

Amides
Anesthetics, Local
Ropivacaine
Fentanyl