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BJA Advance Access originally published online on March 15, 2008
British Journal of Anaesthesia 2008 100(5):652-655; doi:10.1093/bja/aen052
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2008. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Laparoscopic cholecystectomy in a patient with an implantable left ventricular assist device

V. Kartha*, W. Gomez, B. Wu and K. Tremper

Department of Anesthesiology, University of Michigan Hospitals, Ann Arbor, MI, USA

* Corresponding author. E-mail: drvrinda{at}yahoo.com

Left ventricular assist devices (LVADs) provide mechanical support for left ventricular ejection in the failing heart. We describe the anaesthetic management of a patient with an LVAD requiring laparoscopic cholecystectomy. A 51-yr-old female patient with severe heart disease had a Heartmate II LVAD implanted 4 months before this proposed elective surgery. Maintaining haemodynamic stability in the perioperative period is essential in such patients. The case was managed successfully using invasive monitoring and anaesthesia with sevoflurane and remifentanil. The potential problems in management of patients with LVADs are highlighted and discussed. A team approach is essential.

Keywords: anaesthesia, general; equipment, circulatory support devices; heart failure; heart-assist devices; surgery, abdominal


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