Aortic Valve Replacement in a Hemodialysis-Dependent Patient

Abstract
In the anesthetic management of a hemodialysis-dependent patient undergoing aortic-valve replacement, technical and pathophysiologic problems considered included: The presence of an arteriorenous hemo-dialysis fistula. Hemodynamic alterations associated with aortic insufficiency. Choice of anesthetic agents, fluid, and electrolyte balance in the presence of renal failure. Postoperative management of hypertension and hyperkalemia. While there are many possible approaches, the authors present one successful technic for consideration.

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