Double valve replacement in a patient with implantable cardioverter defibrillator with severe left ventricular dysfunction

Girish Manjunath, Prakash Rao, Nagendra Prakash, BK Shivaram

Annals of Cardiac Anaesthesia 2016 19(4):724-727

Recent data from landmark trials suggest that the indications for cardiac pacing and implantable cardioverter defibrillators (ICDs) are set to expand to include heart failure, sleep-disordered breathing, and possibly routine implantation in patients with myocardial infarction and poor ventricular function.[1] This will inevitably result in more patients with cardiac devices undergoing surgeries. Perioperative electromagnetic interference and their potential effects on ICDs pose considerable challenges to the anesthesiologists.[2] We present a case of a patient with automatic ICD with severe left ventricular dysfunction posted for double valve replacement.

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