Abstract

RODRIGUEZ, Yuliel Varona; ABAD, Jose Carlos Acosta; DORNES, Adonis Cintra  and  MANRESA, Liliam María Castillo. Perioperative anesthetic management in total abdominal hysterectomy due to uterine fibroid in a patient with severe aortic stenosis. A case report. Medisur [online]. 2023, vol.21, n.5, pp. 1108-1113.  Epub Oct 30, 2023. ISSN 1727-897X.

The case of a 35-years-old female patient with a history of presenting a murmur since childhood and who had to undergo surgery for uterine fibroid is presented. The anesthesiologist, during the preoperative consultation, verified the aforementioned murmur, so it was decided to postpone surgery and consult with a cardiologist. The echocardiographic examination showed that the patient had severe aortic stenosis with preserved ejection fraction, stress test: functional class I, without ischemia. Using orotracheal general anesthesia, a total abdominal hysterectomy was performed without complications. The perioperative management of aortic stenosis is of vital importance for the anesthesiologist.

Keywords : aortic valve stenosis; general surgery; anesthesia; risk; perioperative period.

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