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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 in 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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  1. Madigan JD, Choudhri AF, Chen J, Spotnitz HM, Oz MC, Edwards N. Surgical management of the patient with an implanted cardiac device: implications of electromagnetic interference. Annals of Surgery 1999;230(5):639.
  2. Gallagher MD, David Hayes MD, Jane EH. Practice advisory for the perioperative management of patients with cardiac implantable electronic devices: pacemakers and implantable cardioverter-defibrillators. Anesthesiology 2011;114(2):247-261.
  3. Rapsang AG, Bhattacharyya P. Pacemakers and implantable cardioverter defibrillators-general and anesthetic considerations. Revista Brasileira de Anestesiologia. 2014;64(3):205-214.
  4. Rastogi S, Goel S, Tempe DK, et al. Anaesthetic management of patients with cardiac pacemakers and defibrillators for noncardiac surgery. Annals of Cardiac Anaesthesia 2005;8(1):21-32.
  5. Senthuran S, Toff WD, Vuylsteke A, et al. Editorial III. British Journal of Anaesthesia [Internet]. Elsevier BV 2002;88(5):627-631.
  6. Andersen C, Madsen GM. Rate-responsive pacemakers and anaesthesia A consideration of possible implications. Anaesthesia. 1990;45(6):472-476.
  7. Sharma P, Singh MK, Vats A, et al. Central Venous Catheter Insertion in Patients With Transvenous Pacemaker or Defibrillator Leads. Journal of Cardiothoracic and Vascular Anesthesia 2011;25(4):e25.
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