Anesthetic challenges in a cardiac patient undergoing noncardiac surgery
We report a case of a patient with coronary artery disease (ejection fraction [EF] = 20%) with automatic implantable cardioverter-defibrillator (AICD) implanted, hypertension, diabetes mellitus, chronic kidney disease, and peripheral vascular disease for vitrectomy. This patient was diagnosed as a c...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2018-01-01
|
| Series: | Apollo Medicine |
| Subjects: | |
| Online Access: | http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2018;volume=15;issue=2;spage=110;epage=111;aulast=Badge |
| _version_ | 1818718399989022720 |
|---|---|
| author | Vaishali S Badge Pankaj Patil |
| author_facet | Vaishali S Badge Pankaj Patil |
| author_sort | Vaishali S Badge |
| collection | DOAJ |
| description | We report a case of a patient with coronary artery disease (ejection fraction [EF] = 20%) with automatic implantable cardioverter-defibrillator (AICD) implanted, hypertension, diabetes mellitus, chronic kidney disease, and peripheral vascular disease for vitrectomy. This patient was diagnosed as a case of bilateral retinal detachment with proliferative vitreoretinopathy Grade III. He developed hyphema in the right eye due to long-standing uncontrolled diabetes with complete loss of vision. This case was very complex to manage as the patient had comorbidities with low EF. The case was done on an urgent basis thinking that the patient might lose eyesight if he is not operated quickly. A 55-year-old male presented with complaints of breathlessness, chest discomfort, and cough and diagnosed as left ventricular failure with cardiogenic shock. He complained of sudden onset loss of vision after 2 days of admission while in Intensive Care Unit. This patient had vitreous hemorrhage due to end-stage diabetic disease. The patient was suffering from triple vessel coronary artery disease (EF = 20%, regional wall motion abnormalities), AICD in situ, diabetes, hypertension since 10 years, and peripheral vascular disease with peripheral plasty. He was a chronic alcoholic and smoker as well. His renal function tests showed serum creatinine 1.8 mg/dl. Patient was planned for right eye vitrectomy to save vision. The patient was operated without any complications. |
| first_indexed | 2024-12-17T19:50:26Z |
| format | Article |
| id | doaj.art-d5980864487a4a288eed81655a486d73 |
| institution | Directory Open Access Journal |
| issn | 0976-0016 2213-3682 |
| language | English |
| last_indexed | 2024-12-17T19:50:26Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Apollo Medicine |
| spelling | doaj.art-d5980864487a4a288eed81655a486d732022-12-21T21:34:45ZengWolters Kluwer Medknow PublicationsApollo Medicine0976-00162213-36822018-01-0115211011110.4103/am.am_29_18Anesthetic challenges in a cardiac patient undergoing noncardiac surgeryVaishali S BadgePankaj PatilWe report a case of a patient with coronary artery disease (ejection fraction [EF] = 20%) with automatic implantable cardioverter-defibrillator (AICD) implanted, hypertension, diabetes mellitus, chronic kidney disease, and peripheral vascular disease for vitrectomy. This patient was diagnosed as a case of bilateral retinal detachment with proliferative vitreoretinopathy Grade III. He developed hyphema in the right eye due to long-standing uncontrolled diabetes with complete loss of vision. This case was very complex to manage as the patient had comorbidities with low EF. The case was done on an urgent basis thinking that the patient might lose eyesight if he is not operated quickly. A 55-year-old male presented with complaints of breathlessness, chest discomfort, and cough and diagnosed as left ventricular failure with cardiogenic shock. He complained of sudden onset loss of vision after 2 days of admission while in Intensive Care Unit. This patient had vitreous hemorrhage due to end-stage diabetic disease. The patient was suffering from triple vessel coronary artery disease (EF = 20%, regional wall motion abnormalities), AICD in situ, diabetes, hypertension since 10 years, and peripheral vascular disease with peripheral plasty. He was a chronic alcoholic and smoker as well. His renal function tests showed serum creatinine 1.8 mg/dl. Patient was planned for right eye vitrectomy to save vision. The patient was operated without any complications.http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2018;volume=15;issue=2;spage=110;epage=111;aulast=Badgeautomatic implantable cardioverter-defibrillatorcoronary artery diseasevitrectomy |
| spellingShingle | Vaishali S Badge Pankaj Patil Anesthetic challenges in a cardiac patient undergoing noncardiac surgery Apollo Medicine automatic implantable cardioverter-defibrillator coronary artery disease vitrectomy |
| title | Anesthetic challenges in a cardiac patient undergoing noncardiac surgery |
| title_full | Anesthetic challenges in a cardiac patient undergoing noncardiac surgery |
| title_fullStr | Anesthetic challenges in a cardiac patient undergoing noncardiac surgery |
| title_full_unstemmed | Anesthetic challenges in a cardiac patient undergoing noncardiac surgery |
| title_short | Anesthetic challenges in a cardiac patient undergoing noncardiac surgery |
| title_sort | anesthetic challenges in a cardiac patient undergoing noncardiac surgery |
| topic | automatic implantable cardioverter-defibrillator coronary artery disease vitrectomy |
| url | http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2018;volume=15;issue=2;spage=110;epage=111;aulast=Badge |
| work_keys_str_mv | AT vaishalisbadge anestheticchallengesinacardiacpatientundergoingnoncardiacsurgery AT pankajpatil anestheticchallengesinacardiacpatientundergoingnoncardiacsurgery |