A 65-year-old woman presents for aortic valve replacement. The patient had an episode of congestive heart failure which led to a recent hospital admission. A cardiac catheterization at that time showed a peak systolic gradient of 90 mmHg between left ventricle and aorta.
During anesthetic induction with fentanyl and vecuronium, the patient develops a junctional rhythm and severe hypotension. How would you anesthetize this patient for cardiac or non-cardiac surgery? *This case is from Docplexus Editorial Team for educative purpose only.
