Epidemiology Approximately a 1:1000 incidence per y, increasing with age. M:F incidence ratio: 2:1. Most common cause of heart failure; accounts for 40% of all cases. Perioperative Risks CHF exacerbation Hypotension Pulmonary edema Myocardial ischemia/infarction Acute renal failure Malignant arrhythmias/pacemaker…
Case Synopsis A 73-year-old woman with known severe mitral regurgitation and a permanent pacemaker is admitted to the surgical intensive care unit with urosepsis and refractory hypotension. Because of her lack of hemodynamic response to fluid boluses, a pulmonary artery…
Case Synopsis A 65-year-old man is taken to the operating room for coronary artery bypass grafting. After induction of anesthesia, a right internal jugular triple-lumen central venous catheter (CVC) is placed. The operation proceeds without complications, and the patient is…