Anesthetic management for a patient with transcatheter mitral valve implantation

摘要

MITRAL VALVE REDO OPERATIONS due to failing bioprostheses are known to be associated with high rates of morbidity and mortality. Transcatheter mitral valve implantation (TMVI) procedures in high-risk patients with severe mitral regurgitation have become a promising treatment option. We report a new transcatheter technique as an alternative to redo operations in patients with degenerative mitral valve bioprosthesis. There are a limited number of studies on the use of this technique. The main objective of the administration of anesthesia for TMVI application is to maintain hemodynamic stability. In this report, the authors present the anesthesia management of TMVI for a 79-year-old female patient with severe mitral valve regurgitation resulting from a degenerative mitral bioprosthetic valve. Although a standard method of anesthesia in this high-risk group of patients has not yet been established, the authors prefer general anesthesia because it provides airway safety in cases of pulmonary edema and facilitates the implementation of transesophageal echocardiography (TEE).