Abstract

A 35-year-old woman weighing 42 kg suffering from severe mitral stenosis, tricuspid regurgitation, pulmonary hypertension, and chronic atrial fibrillation underwent mitral valve replacement and Maze procedure under general anesthesia (uneventful endotracheal intubation using intravenous rocuronium). The termination of cardiopulmonary bypass required inotropic support with intravenous infusions of 10 μg/kg/min of dopamine, 0.05 μg/kg/min of epinephrine, and 0.05 μg/kg/min of norepinephrine in order to sustain a mean arterial pressure of 60 mmHg.

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