Anesthetic management for combined mitral valve replacement and aortic valve repair in a patient with osteogenesis imperfecta.
Ann Card Anaesth
;
2011 May; 14(2): 115-118
Article
Dans Anglais
| IMSEAR
| ID: sea-139584
ABSTRACT
Osteogenesis imperfecta is a rare disorder of connective tissues and presents multiple challenges, including difficult airway, hyperthermia, coagulopathy and respiratory dysfunction, for anesthesiologists, especially during cardiac surgery. We present anesthetic management of a patient with osteogenesis impertecta during double valve surgery. Dexmedetomidine infusion minimized the risks of malignant hyperthermia. Glidescope and in-line stabilization facilitated endotracheal intubation and protected his oral structures and cervical spine. Transesophageal echocardiography (TEE) diagnosed a flail A3 segment and redundant left coronary cusp causing mitral and aortic regurgitation. The mitral valve was replaced and the aortic valve repaired. Coagulopathy was corrected according to comprehensive coagulation analysis. Glidescope, dexmedetomidine, coagulation analysis and TEE could facilitate anesthetic management in these patients.
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Sujet Principal:
Ostéogenèse imparfaite
/
Valve aortique
/
Numération des plaquettes
/
Troubles de l'hémostase et de la coagulation
/
Humains
/
Mâle
/
Caproates
/
Pontage cardiopulmonaire
/
Fentanyl
/
Curarisants non dépolarisants
langue:
Anglais
Texte intégral:
Ann Card Anaesth
Année:
2011
Type:
Article
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