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VOLUME 3 , ISSUE 2 ( July-December, 2018 ) > List of Articles

CASE REPORT

Open Heart Surgery in a Patient with Dual Chamber Pacemaker

Lakshmi A Sathyanarayana

Keywords : Cardioplegia, Dual chamber pacemaker, Electrical interference, Open heart surgery, Pacemaker dependence, Reprogramming

Citation Information : Sathyanarayana LA. Open Heart Surgery in a Patient with Dual Chamber Pacemaker. Res Inno Anesth 2018; 3 (2):66-69.

DOI: 10.5005/jp-journals-10049-0054

License: CC BY-NC 4.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

With changing cohort of cardiac patients, elderly patients with comorbidities like a patient with a pacemaker may be encountered in clinical practice. In patients with a pacemaker undergoing noncardiac surgery, electromagnetic interference can alter the function of a permanent pacemaker. Additional concerns during open heart surgery in a patient with a permanent pacemaker are lead displacement with venous cannulation, electrical activity during cardioplegia and damage to the device by defibrillation. Management of a patient with a pacemaker for a surgery calls for a multidisciplinary approach with involvement of cardiologist, electrophysiologist, device manufacturer, anesthesiologist, and cardiac surgeon. To the best of our knowledge, there are no case reports or guidelines about a patient with a pacemaker coming for cardiac surgery, and we report the perioperative management of a pacemaker dependent patient undergoing aortic valve replacement for severe aortic stenosis.

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