Anesthetic Management for Ascending Aorta Replacement Using Deep Hypothermic Circulatory Arrest in a Heart Transplanted Patient.
10.4097/kjae.2002.42.1.115
- Author:
Sam Hee KWON
1
;
Yong Bo JEONG
;
Ji Yeon SIM
;
In Cheol CHOI
Author Information
1. Department of Anesthesiology, College of Medicine, University of Ulsan, Seoul, Korea. icchoi@www.amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Ascending aorta replacement;
deep hypothermic circulatory arrest;
heart transplantation
- MeSH:
Abscess;
Allografts;
Aneurysm, False;
Aorta*;
Circulatory Arrest, Deep Hypothermia Induced*;
Heart Transplantation;
Heart*;
Hematoma;
Humans;
Sternotomy;
Tomography, X-Ray Computed;
Vena Cava, Superior
- From:Korean Journal of Anesthesiology
2002;42(1):115-119
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We present a case of a patient who had undergone human allograft cardiac transplantation 5 months before ascending aorta replacement. A pseudoaneurysm at the anastomotic site of ascending aorta with periaortic hematoma compressing the superior vena cava (SVC) had been revealed by chest CT, and after the median sternotomy, paraaortic abscess was revealed as the cause of this patient's SVC syndrome. The ascending aorta replacement was performed under deep hypothermic circulatory arrest. The anesthetic management of this patient included the use of a sterile technique, slow cautious induction, and the maintenance of adequate intravascular volume.
