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Perioperative Management of Two Patients with Left Ventricular Assist Devices Presenting for Noncardiac Surgery in the Prone Position

Chacon, M. Megan MD; Hattrup, Emily A. MD; Shillcutt, Sasha K. MD, FASE

doi: 10.1213/XAA.0000000000000002
Case Reports: Case Report

Ventricular assist devices (VADs) provide mechanical circulatory support for patients with advanced heart failure. Patients with VADs are presenting for noncardiac surgery with increasing frequency. Understanding anesthetic management of patients with VADs is timely and necessary for perioperative physicians. We present 2 patients supported by left VADs who required intraoperative prone positioning, and how transesophageal echocardiography and VAD variables can be used to guide management.

From the Department of Anesthesiology, University of Nebraska Medical Center, Omaha, Nebraska.

Accepted for publication September 24, 2013

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Sasha K. Shillcutt, MD, Department of Anesthesiology, University of Nebraska Medical Center, 981145 Nebraska Medical Center, Omaha, Nebraska. Address e-mail to sshillcu@unmc.edu.

© 2014 International Anesthesia Research Society
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