Anesthesia for Coronary Artery Bypass Grafting without Extracorporeal Circulation: One case report.
10.4097/kjae.1997.33.2.381
- Author:
Jin Hyung KWON
;
Keun Seok MO
;
Young Rae CHO
- Publication Type:Case Report
- Keywords:
Cardiopulmonary bypass, coronary artery bypass grafting
- MeSH:
Anesthesia*;
Arterial Occlusive Diseases;
Blood Pressure;
Coronary Artery Bypass*;
Coronary Vessels*;
Dopamine;
Extracorporeal Circulation;
Female;
Fentanyl;
Heart Rate;
Hemodynamics;
Humans;
Isoflurane;
Midazolam;
Myocardial Revascularization;
Nitroglycerin;
Young Adult
- From:Korean Journal of Anesthesiology
1997;33(2):381-384
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Coronary artery bypass grafting (CABG) without extracorporeal circulation (ECC) is now an accepted technique of myocardial revascularization in selective cases of coronary arterial occlusive disease. We experienced a case of CABG without ECC in a 20 year old female patient with complete occlusion of the right coronary artery. Anesthesia was induced and maintained with fentanyl, midazolam and isoflurane. Nitroglycerine and dopamine were given to stabilize the hemodynamics during intra- and post-operative periods. And esmolol was administered with a loading dose of 30 mg over 1 min, followed by a continuous infusion of 50~100 g/kg/min to maintain the heart rate (50~60 beats/min) and systolic blood pressure (60~80 mmHg) during distal anastomosis. The patient was recovered uneventfully and discharged on the 8th postoperative day.
