Anesthetic management of a surgical patient with cardiac implantable electrical device.

摘要

A 55-year-old woman with stage IIA ovarian cancer presents for total abdominal hysterectomy, bilateral salpingo-oophorectomy, pelvic lymph node dissection, and omentectomy for tumor debulking. She has a history of dilated cardiomyopathy (DCM), New York Heart Association (NYHA) class III heart failure, and moderate mitral regurgitation. She has recently undergone implantation of a biventricular (BiV) pacemaker (PM) with an implantable cardioverter-defibrillator (ICD).