General Anesthesia For An Oral Surgical Procedure In A Patient With Severe Heart Valve Disease Scheduled For Cardiac Surgery: A Case Report

For patients with cardiac disorders and oral diseases who require surgery, oral treatment sometimes precedes cardiac surgery. We report management of general anesthesia for an oral surgery in a patient who had severe Aortic Stenosis (AS) and severe Mitral Regurgitation (MR) requiring cardiac surgery, a coexisting chronic renal failure on dialysis. The patient was a 56-year-old man diagnosed with severe AS and MR who had received hemodialysis for chronic renal failure. Due to coexisting severe periodontitis, dental caries, and radicular cysts, he received oral surgery under general anesthesia before cardiac surgery. Strict circulatory management was necessary for this patient. Arterial Pressure-Based Cardiac Output (APCO; Flo Trac/VigileoTM; Edwards Lifesciences, Irvine, CA, USA) was useful for more strict circulatory management of critical heart valve disease such as this patient.