World Journal of
Pharmaceutical and Life Sciences

CASE REPORT: PERIOPERATIVE MANAGEMENT OF A GERIATRIC LADY WITH SEVERE AORTIC COARCTATION SUBJECTED TO EXTENDED MAJOR SURGERY

AlBalushi Khalfan Faisal, Amir M Shabana*, Hetal Chokshi

ABSTRACT

Coarctation of the aorta (CoA) is a congenital cardiac anomaly usually diagnosed and treated in early life. The mortality rate is very high, reaching 80% by the fifth decade; hence, it is very rare to encounter an elderly patient with a severe form of CoA. This report presents the case of a 65-year-old obese female with severe CoA who underwent an extended open reduction and internal fixation (ORIF) of a complicated femur fracture lasting over five hours. The report aims to highlight the challenges in perioperative management posed by CoA and its associated pathophysiological changes in an elderly patient undergoing major surgery. To our knowledge, this circumstance is rare in the anesthesia field, and it could be beneficial to the anesthesia society to be highlighted.

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