DR AARTHI. C,DR R LAKSHMI,DR. BHARATHI,DR. K. RAMESH
DOI: https://doi.org/An 81-year-old female with severe aor6c stenosis, moderate mitral stenosis, type 2 diabetes mellitus, hypertension, and hypothyroidism presented with acute onset dyspnoea and was diagnosed with mul6valvular heart disease complicated by cardiogenic pulmonary oedema. Given her high surgical risk, she underwent transfemoraltranscatheter aor6c valve replacement (TAVR) combined with percutaneous coronary interven6on (PCI) under general anesthesia. Anesthe6c management was tailored to maintain hemodynamic stability, employing 6trated induc6on, invasive monitoring, temporary pacing, and proac6ve vasopressor support. The procedure was unevenIul, and the pa6ent was extubated on postopera6ve day one. Echocardiography confirmed op6mal prosthe6c valve func6on, and she was discharged with stable hemodynamics. This case underscores the feasibility of concomitant PCI and TAVR in an octogenarian with complex comorbidi6es when supported by me6culous anesthe6c planning, vigilant intraopera6ve monitoring, and a mul6disciplinary approach, achieving favorable outcomes despite extreme procedural risk.
