2018, Number 4
Rev Mex Anest 2018; 41 (4)
Aortic valve replacement in patients with rheumatoid arthritis: a challenge for difficult airway management
Rojas-Jaimes RA, Gaitán-Sastoque OA, Fernández-Hernández LY
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ABSTRACTRheumatoid Arthritis is recognized as a major risk factor for heart valve disease. Symptomatic heart valve lesion more common in patients with rheumatoid arthritis is the aortic insufficiency. In patients with rheumatoid arthritis who have aortic insufficiency rarely it requires valve replacement. In a PubMed search with keywords rheumatoid arthritis and aortic valve replacement, only five cases published worldwide found. Board an anesthetic procedure on a patient with rheumatoid arthritis is a challenge, not only because of the high incidence of difficult intubation, but also due to the high cardiovascular risk. Here we report a case of aortic valve replacement for aortic regurgitation secondary to rheumatoid arthritis associated with a difficult airway resolved with a intubation with awake patient and prepositioning of laryngeal blockade at the Centro Médico Nacional 20 de Noviembre, ISSSTE.