Role of Left Stellate Ganglion Block in Offering Myocardial Protection in On-pump Mitral Valve Replacement? A Histopathological and Clinical Assessment

Role of Left Stellate Ganglion Block in Offering Myocardial Protection in On-pump Mitral Valve Replacement? A Histopathological and Clinical Assessment

Can pre-operative left stellate ganglion block offer myocardial protection in on-pump mitral valve replacement? A histopathological and clinical assessment.

Inclusion Criteria:

• Adult population of both sex, between 25-50 years, will undergo elective on pump mitral valve replacement

Exclusion Criteria:

• -Combined valve replacement ( mitral and aortic or mitral and tricuspid valves replacement).
• Emergency valve replacement ( stuck valve, infective endocarditis).
• Pre-operative cardiomyopathy (Ejection fraction less than 45%).
• Recent myocardial infarction ( within 6 months)
• Redo mitral valve replacement.
• Pre-operative pacing, or cardioverter, any form arrhythmia ( tachy or brady).
• Previous history of carotid endarterectomy or presence of carotid stent.
• On thrombolytic therapy.
• Severe chronic obstructive airway disease,
• Patient refusal