A77-year-old, woman is admitted to the hospital with severe pulmonary oedema and atrial fibrillation with a rapid ventricular response. Cardiac catheterization demonstrates severe mitral stenosis with pulmonary hypertension and tricuspid regurgitation. Mitral valve replacement with tricuspid valve annuloplasty is planned.

What could be the best possible way to anesthetize this patient? *This case is from Docplexus Editorial team for educative purpose only.