Anesthetic Challenges for Posterior Spine Surgery in a Patient With Left Ventricular Assist Device: A Case Report

J Pablo Kollmar; Douglas A Colquhoun; Julie L Huffmyer

doi:10.1213/XAA.0000000000000531

Anesthetic Challenges for Posterior Spine Surgery in a Patient With Left Ventricular Assist Device: A Case Report

A A Case Rep. 2017 Aug 1;9(3):77-80. doi: 10.1213/XAA.0000000000000531.

Authors

J Pablo Kollmar¹, Douglas A Colquhoun, Julie L Huffmyer

Affiliation

¹ From the *Department of Anesthesiology, University of Virginia, Charlottesville, Virginia; and †Department of Anesthesiology, University of Michigan, Ann Arbor, Michigan.

PMID: 28459724
DOI: 10.1213/XAA.0000000000000531

Abstract

With the growing rate of left ventricular assist device (LVAD) implantation, patients with end-stage heart failure and LVAD support are presenting for a variety of noncardiac surgeries. We describe a case of urgent posterior lumbar decompression for spinal stenosis in a 73-year-old man with HeartMateII LVAD, which presented significant anesthetic challenges in terms of positioning, blood loss, and coagulopathy.

Publication types

Case Reports

MeSH terms

Aged
Anesthesia, General / methods*
Decompression, Surgical / methods
Heart-Assist Devices*
Humans
Male
Prone Position
Spinal Stenosis / complications
Spinal Stenosis / surgery*
Spine / surgery*
Spondylolisthesis / complications
Spondylolisthesis / surgery*