Anesthetic Management of Reconstructive Surgery for the Traumatic Thoracic Aortic Aneurysm.
10.4097/kjae.1980.13.1.15
- Author:
Seong Deok KIM
1
;
Bong Duck KIM
;
Seung Keun YOO
;
Kwang Woo KIM
;
II Yong KWAK
Author Information
1. Department of Anesthesiology, College of Medicine, Seoul National University, Seoul, Korea.
- Publication Type:Original Article
- MeSH:
Aortic Aneurysm, Thoracic*;
Arrhythmias, Cardiac;
Humans;
Hypertension;
Hypotension;
Ischemia;
Myocardial Ischemia;
Phentolamine
- From:Korean Journal of Anesthesiology
1980;13(1):15-20
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The management of patient undergoing thoracic aortic surgical procedures represents a major challenge for the anesthesiologists. Aortic cross-clamping and unclamping are particularly hszardous during the- course of the thoracic aortic operation. Proximal hypertension, myocardial ischemia and arrhythmia have been reported to occur after application of the aortic cross-clampmg. Removal of the cross-clamp often results in severe hypotension with subsequent myocardial, cerebral and renal ischemia. In this case, the patient was managed successfully using Regitine drip during the cross-clamp and slow release of clamp during unclamp, combined with slight overhydration just before unclamp.
