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Indian Journal of Anesthesia and Analgesia 13(1):p 52-53, Jan-March 2026. | DOI: https://doi.org/10.21088/ijaa.2349.8471.13126.8
Case Report
A Case of Mitral Valve Replacement with atrial Fibrillation Posted for Hernioraphy: Anaesthetic Management
Kiran N, Manasa Sambareddy, Ravi Madhusudhana, Ratan null
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Indian Journal of Anesthesia and Analgesia 13(1):p 52-53, Jan-March 2026. | DOI: https://doi.org/10.21088/ijaa.2349.8471.13126.8
How Cite This Article:
Sambareddy M, Kiran N. A case of mitral valve replacement with atrial fibrillation posted for herniorraphy: anaesthetic management. Ind J Anesth Analg. 2026;13(1):52-3.Timeline
Received : December 10, 2025
Accepted : January 12, 2026
Published : March 30, 2026
Abstract
Introduction: Anesthesia management for a patient with mitral valve replacement (MVR) and atrial fibrillation (AF) undergoing hernia repair (hernoplasty) requires careful consideration of the cardiovascular status, anticoagulation therapy (ASRA guidelines to be followed), and potential interactions with anesthetic agents.
Case Report: Our patient aged 51 yrs Male came to the hospital with complaints of swelling over right groin since 6 months associated with pain and was diagnosed with Inguinal Hernia. Patient has a history of Mitral Valve Replacement done 10 yrs ago and
ECG showed irregular irregular rhythm with no p waves and heart rate of 60-100 bpm.
ECG showed Atrial fibrillation. 2d Echo showed s/p mitral valve replacement with normal functioning prosthetic valve, MVG=10/5 mmhg, Dilated Left atrium mild MR, mild TR (PASP=45mmhg), mild AR, Adequate systolic funtionand LVEF=55%, other investigations under normal limit.
Patient was on T.Warfarin 3 mg, T. Atorvastatin 10 mg, T. Bisoprolol 5 mg Once Daily. T. Warfarin was replced by Inj. Enoxaparrin 0.4 Sub cutaneously twice a day till INR is less than 1.5 and that was stopped 12 hours pior to the surgery.
Patient was given Sub Arachnoid Block with 25 G quinckes Spinal needle, Inj Bupivacaine (0.5%) (heavy) 16 mg was given. Inj. Pethidine 20 mg and Inj. Midazolam 1 mg were given for Sedation.
Conclusion: The patient was successfully managed with Mitral valve replacement and atrial fibrillation with Anti Coagulants and without Cardioversion.
References
- 1. Paul A, Kate P, Maiti S, Nasreen F. Anaesthetic management of a case of atrial fibrillation posted for transurethral laser resection of prostate. Indian J Appl Res. 2017;7(1):735-7.
- 2. Nath SS, Parashar S. Perioperative management of patients with prosthetic heart valves: A narrative review. Ann Card Anaesth. 2022;25(3):254-63.
- 3. Umesh G, Verma S, Jasvinder K. Anesthetic management of a patient with prosthetic heart valve for non-cardiac surgery: A case report. Cases J. 2008;1:196.
- 4. Sravanthi GN, Madhusudhana R. Perioperative management of a patient with prosthetic mitral valve posted for ankle surgery. Indian J Anesth Analg. 2021;8(1):129-31.
Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
Whether all authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
The authors report no conflicts of interest in this work.
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Cite this article
Sambareddy M, Kiran N. A case of mitral valve replacement with atrial fibrillation posted for herniorraphy: anaesthetic management. Ind J Anesth Analg. 2026;13(1):52-3.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| December 10, 2025 | January 12, 2026 | March 30, 2026 |
DOI: https://doi.org/10.21088/ijaa.2349.8471.13126.8
Keywords
Mitral Valve ReplacementAtrial FibrillationHernioraphySearch for Similar Articles
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Timeline
| Received | December 10, 2025 |
| Accepted | January 12, 2026 |
| Published | March 30, 2026 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
