Anesthetic management for reentry sternotomy in a patient with a full stomach and pericardial tamponade from left ventricular rupture.
Ann Card Anaesth
;
2013 Jan; 16(1): 51-53
Artículo
en Inglés
| IMSEAR
| ID: sea-145393
ABSTRACT
A 57-year-old man presented with chest pain and shortness of breath 1 month after left ventricular aneurysmectomy and ventricular septal defect closure for post-infarct left ventricular aneurysm and ventricular septal defect. Echocardiography revealed a large recurrent ruptured inferior left ventricular aneurysm with high-velocity flow into a 5 cm posterolateral pericardial effusion. Thirty minutes earlier, the patient had eaten a full meal. Rapid sequence induction was performed with midazolam, ketamine, and succinylcholine. Moderate hypotension was treated effectively and the patient tolerated controlled transition to cardiopulmonary bypass. The ventricular defect was oversewn and reinforced with bovine pericardium. The patient had a difficult but ultimately successful recovery. Options for anesthetic management in the setting of tamponade and a full stomach are discussed, with a brief review of the evidence relating to this clinical problem.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Succinilcolina
/
Dolor en el Pecho
/
Midazolam
/
Humanos
/
Masculino
/
Taponamiento Cardíaco
/
Rotura Septal Ventricular
/
Adulto
/
Esternotomía
/
Contenido Digestivo
Idioma:
Inglés
Revista:
Ann Card Anaesth
Año:
2013
Tipo del documento:
Artículo
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