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Ann Thorac Surg 2009;88:992-994. doi:10.1016/j.athoracsur.2009.01.052
© 2009 The Society of Thoracic Surgeons
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Thomas Walther
Michael Andrew Borger
Joerg Kempfert
Gerhard Schuler
Friedrich Wilhelm Mohr
Joerg Ender
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Case Reports

Awake Transapical Aortic Valve Implantation Using Thoracic Epidural Anesthesia

Chirojit Mukherjee, MDa,*, Thomas Walther, MD, PhDb, Michael Andrew Borger, MD, PhDb, Joerg Kempfert, MDb, Gerhard Schuler, MD, PhDc, Friedrich Wilhelm Mohr, MD, PhDb, Joerg Ender, MDa

a Department of Anesthesiology, Heart Center Leipzig, University Leipzig, Leipzig, Germany
b Department of Cardiac Surgery, Heart Center Leipzig, University Leipzig, Leipzig, Germany
c Department of Cardiology, Heart Center Leipzig, University Leipzig, Leipzig, Germany

Accepted for publication January 16, 2009.

* Address correspondence to Dr Mukherjee, Department of Anesthesia and Intensive Medicine II, Heart Center Leipzig, University of Leipzig, Struempellstrasse 39, Leipzig, 04289, Germany (Email: chirojit.mukherjee{at}med.uni-leipzig.de).

Transapical aortic valve implantation is a minimally invasive, beating-heart procedure that normally requires a general anesthetic. We herein report an 85-year-old patient with impaired pulmonary function who underwent successful transapical aortic valve implantation while awake, using a thoracic epidural anesthetic.






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