Case Report

Anaesthetic management of patients with parkinson’s disease undergoing mitral valve replacement surgery - enteral l-dopa administration: A case report and literature review.


  • Mehmet Burak EŞKİN
  • Vedat YILDIRIM
  • Ercan KURT

Received Date: 14.01.2013 Accepted Date: 18.07.2013 Gulhane Med J 2015;57(3):302-305

Parkinson disease is a neurodegenerative disorder common in the elderly. Although these patients have been operated several times, few case reports are available regarding optimal anesthetic management of patients with Parkinson's disease. Discontinuation of anti-parkinsonian drugs used before surgery and effects of using anesthetic agents often increase severity of disease, morbidity and mortality. We aimed to present the anesthetic management of mitral valve replacement surgery for 79-year-old patient with Parkinson disease who has been medicated for 10 years. Anti-parkinson drugs were given enterally during the perioperative period. The current literatures were reviewed and appropriate anesthesia management was achieved, the patient was discharged on the seventh postoperative day without any problem.

Keywords: Parkinson’s disease, Mitral Valve Replacement, Anaesthetic Management, Enteral L-dopa.