RESUMEN

As the population ages, geriatric patients with preexisting cardiac disease are presenting for noncardiac surgery in escalating numbers. The decision to proceed with surgery in such patients often is multifactorial. With this in mind, we describe 2 patients with severe aortic stenosis who required hip operations: one urgent and one elective. Both patients had different anesthetic plans and did well intraoperatively. However, both patients died postoperatively because of their comorbidities. Although published guidelines are sparse, we hope this report will increase awareness and discussion about caring for geriatric patients with severe aortic stenosis.

Asunto(s)

Anestesia General/métodos , Anestesiología/ética , Estenosis de la Válvula Aórtica/complicaciones , Hemiartroplastia , Anciano de 80 o más Años , Resultado Fatal , Femenino , Fracturas del Cuello Femoral/complicaciones , Fracturas del Cuello Femoral/cirugía , Cadera/cirugía , Humanos , Osteoartritis de la Cadera/complicaciones , Osteoartritis de la Cadera/cirugía , Grupo de Atención al Paciente , Complicaciones Posoperatorias