Emergency hernia repair prior to scheduled transcatheter aortic valve implantation surgery in an 83-year old woman with severe aortic valve stenosis: A case report

Abstract

　Herein, we report a case of an emergency inguinal hernia repair prior to a scheduled transcatheter aortic valve implantation (TAVI) for severe aortic valve stenosis (AS). An 83-year-old woman who developed heart failure secondary to severe AS was scheduled to undergo TAVI. However, before the scheduled TAVI procedure, she developed an acute incarcerated inguinal hernia and required emergency surgery. Anesthesia was induced with extreme caution to avoid systemic hypotension. We controlled her circulation because of the severe AS by maintaining the systemic vascular tone and avoiding tachycardia. She underwent a standard open mesh repair for the inguinal hernia. She recovered well, albeit slowly.

　Twenty days after the hernia repair, she underwent TAVI for severe AS without aspiration, circulatory failure, or any other complications.