AN EFFECTIVE LOW-DOSE SPINAL ANESTHESIA FOR PARTIAL HIP REPLACEMENT SURGERY IN A MITRAL VALVE STENOSIS PATIENT

Abstract

Determining the appropriate anesthesia for mitral valve stenosis patients continues to be controversial. The choice between spinal and general anesthesia is intricate, as both have benefits and drawbacks. We present the anesthetic management of a 60-year-old female with severe mitral valve stenosis and a closed left intertrochanteric femur fracture. Under spinal anesthesia of 7.5 mg of 0.5% hyperbaric bupivacaine, a satisfactory left partial hip replacement was performed. Anesthesia adequate for the operation was ensured by the loss of sensation up to the umbilicus. On the eighth day after surgery, the patient was discharged with an uneventful recovery.