International Journal of Educational Review, Law And Social Sciences (IJERLAS)
Vol. 6 No. 3 (2026)

Anesthetic Management of Non-Cardiac Surgery in A Patient With Chemotherapy-Induced Cardiomyopathy and Severely Reduced Ejection Fraction: A Case Report

Dino Irawan (Departement Anestesiologi dan Terapi Intensif FK UNRI/ RSUD Arifin Achmad)
Mhd. Ayyub Rizki (Departement Anestesiologi dan Terapi Intensif FK UNRI/ RSUD Arifin Achmad)



Article Info

Publish Date
10 Jun 2026

Abstract

Chemotherapy-induced cardiomyopathy is a serious complication of cancer therapy that can lead to a significant reduction in left ventricular ejection fraction and increase the risk of perioperative morbidity and mortality in non-cardiac surgery. This study aims to describe the anesthetic management of a patient with severe ventricular dysfunction secondary to chemotherapy undergoing non-cardiac surgery. This study used a descriptive observational design in the form of a single case report with retrospective data collection through medical record review, including preoperative evaluation, supporting examination results, intraoperative anesthetic strategies, hemodynamic parameters, use of vasoactive drugs, and postoperative outcomes. Data were analyzed descriptively by comparing clinical findings with relevant literature. The results showed that an individualized anesthetic approach, selection of agents with minimal myocardial depressant effects, careful fluid management, and strict hemodynamic monitoring were able to maintain perioperative stability without major cardiovascular complications. This report emphasizes the importance of a risk-based anesthetic strategy in improving patient safety in individuals with severely reduced ejection fraction due to chemotherapy-related cardiotoxicity.

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Journal Info

Abbrev

IJERLAS

Publisher

Subject

Religion Humanities Environmental Science Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Social Sciences Other

Description

This journal accepts articles on results of the research in fields of Education, Cross Culture, Law, Environmental Empowerment which are the latest issues from the results of activities or practical implementations that are problem solving, comprehensive, meaningful, latest and sustainable findings ...