The case describes a redo sternotomy for dual valve replacement secondary to valvular stenosis and hemodynamic compromise. Discussions related to the anesthetic management of redo sternotomy, aortic stenosis, and mitral stenosis are included. Additionally, considerations regarding pulmonary hypertension and its anesthetic implication as well as intraoperative bradycardia are discussed.
KeywordsToxicity Ischemia Dopamine Aspirin Epinephrine
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