Perioperative management of a patient with left ventricular dysfunction and anomalous coronary arteries

Abstract

Anesthetic management of patients with coronary artery disease undergoing noncardiac surgery is quite challenging. Such patients are at increased risk of perioperative cardiac complications and death. We report an illustrative case of a 62-year-old male with ischemic heart disease and anomalous coronary arteries for obstructed paraumbilical hernia repair.

Perioperative management of patient on aspirin: Current view

“…reported a case of an elderly man with double vessel disease, poor left ventricular function, and concomitant anomalous origin of the left anterior descending artery from the right coronary artery for repair of irreducible obstructed paraumbilical hernia. [ 1 ] However, it raises certain issues.…”