Total Intravenous Anesthesia for Open Heart Surgery in a Patient with a Moyamoya Disease: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 88-93, 2008.
Article
Dans Coréen
| WPRIM
| ID: wpr-181759
ABSTRACT
Moyamoya disease (MMD) is a progressive cerebrovascular occlusive disease of the internal carotid arteries and anterior and middle cerebral arteries. Non-neurological surgery in patients with MMD is often complicated by cerebral ischemia or infarction. The goals of perioperative management are to maintain normotension, normocarpnia, normovolemia and normothermia. Here we report a case of a patient with MMD who underwent patch closure of an atrial septal defect and pulmonary valvotomy by use of a normothermic and non-hemodiluted cardiopulmonary bypass. To prevent intraoperative neurological complications we performed total intravenous anesthesia with propofol, made burst suppression in EEG and monitored the jugular bulb oxygen saturation (SjvO2) for cerebral desaturation.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Oxygène
/
Chirurgie thoracique
/
Pontage cardiopulmonaire
/
Artère carotide interne
/
Propofol
/
Encéphalopathie ischémique
/
Artère cérébrale moyenne
/
Électroencéphalographie
/
Coeur
/
Communications interauriculaires
Limites du sujet:
Humains
langue:
Coréen
Texte intégral:
Korean Journal of Anesthesiology
Année:
2008
Type:
Article
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