Severe Aortic Stenosis in the Setting of Persistent Bleeding and the Risk of Delayed Cardiac Surgery
We present a 75-year-old female with a history of CAD and known heart murmur who presented after a syncopal episode and was found to have severe aortic stenosis in the setting of persistent post-menopausal bleeding. Although the cardiologists felt that urgent valve replacement was necessary, this could not be accomplished in the setting of her vaginal bleeding, given the need for anticoagulation during the heart surgery. With this case, we will discuss the challenges inherent when the need for anticoagulation meets persistent bleeding, and the risks of delayed cardiac surgery.
Alexander S, Jahshan-Abdalla A, Soto RG. Severe aortic stenosis in the setting of persistent bleeding and the risk of delayed cardiac surgery. Presented at: American Society of Anesthesiologists Annual Meeting; 2023 Oct 16; San Francisco, CA.