Case report
Anaesthetic Management of Multivalvular Surgery Complicated by Submitral Aneurysm and Pulmonary Hypertension: A Case Report
UD01-UD04
Correspondence
Abhigna Gummalla,
Resident Hostel, JNMC, DMIHER, Wardha-442107, Maharashtra, India.
E-mail: abhigna.gummalla@gmail.com
Submitral Aneurysm (SMA) is a rare cardiac condition that presents with perioperative anaesthetic complications, especially with comorbidities such as Pulmonary Hypertension (PH) and severe valvular disease. The case reported is a 21-year-old female with a medical illness history of rheumatic heart disease, severe mitral and Tricuspid Regurgitation (TR), PH, and basal SMA. She was admitted with palpitations, dyspnoea, and cough. Preoperative assessment revealed ventricular dysfunction and pulmonary disease. She was to undergo general anaesthesia for Mitral Valve Replacement (MVR), tricuspid valve repair, and SMA repair. Anaesthesia management included maintaining cardiac output, preserving right ventricular function, and controlling pulmonary pressures. Invasive monitoring and intraoperative echocardiography were used. Postoperative intensive care unit management was carried out, and ventilatory support was weaned on the 2nd postoperative day. The postoperative course was uneventful, with enhanced functional capacity and satisfactory echocardiographic parameters at follow-up. The case highlights the complexity of anaesthetic care for multivalvular heart disease with SMA and PH. It underscores the need for personalised treatment, precise monitoring, and multidisciplinary care for successful management.