Anesthetic Management of Unstable Angina in a Patient with Myocardial Bridge: A case report / 대한마취과학회지

An anatomical anomaly, in which myocardial fibers make a bridge over the epicardial coronary artery, is known as the myocardial bridge. The clinical significance of this anomaly has been emphasized because serious cardiac diseases, such as myocardial infarctions or sudden death, can occur. We experienced the anesthetic management of a 72-year-old female patient with a myocardial bridge under general anesthesia for cholecystitis.

Airway Management in a Patient with Goldenhar's Syndrome: A case report / 대한마취과학회지

Goldenhar's syndrome is a rare form of a hemifacial microsomia in which the facial and vertebral anomalies are frequently associated with cardiac, pulmonary and renal defects. Infants with Goldenhar's syndrome commonly have an airway that is difficulty to manage. A difficult tracheal intubation may be due to a combination of mandibular hypoplasia, macrognathia, palatal defects and vertebral anomalies. We report the successful anesthetic management of a 10-month-old girl with Goldenhar's syndrome for the excision of conjunctival lipodermoid. The use of remifentanil followed with an anesthetic induction dose of propofol provides adequate conditions for tracheal intubation without the use of neuromuscluar blocking agents in a patient with Goldenhar's syndrome.