Parietal Meningioma Excision Under
Hypotensive Anaesthesia in a Patient
with a Prosthetic Mitral Valve
Department of Anaesthesiology
Mamata General Hospital,
Khammam, Andhrapradesh 507002
Non-cardiac surgeries in cardiac patients and post-valve replacement are increasing these days. The prevention of thromboembolic sequelae in these patients is a major challenge. We report here, a case of parietal lobe meningioma excision in a 70-year-old post mitral valve replacement patient who was on irregular anti-coagulant treatment. Low molecular weight Heparin was given preoperatively in the immediate post-operative period and Warfarin was started with later. INR was maintained within normal limits and patient had uneventful recovery following surgery.