Anesthesia for Non-Cardiac Surgery in a Patient with Left Ventricular Assist Device (LVAD) -

Left ventricular assist devices (LVADs) are advanced mechanical devices for end-stage heart failure. LVADs are implanted as bridge therapy in the patient awaiting heart transplantation.A 44-year-old male patient was preoperatively evaluated for surgery due to femur fracture.In the medical history of the patient, it was learned that heart failure developed after myocarditis in 2009 and an intracardiac defibrillator (ICD) was implanted in 2014.we administered low-dose local anesthetic and opioid intrathecally, which we thought would affect the hemodynamics at least, and performed the operation with stable hemodynamics of the patient.