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Anesthetic management of a patient undergoing liver transplantation who had previous coronary artery bypass grafting using an in situ right gastroepiploic artery.


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タイトル: Anesthetic management of a patient undergoing liver transplantation who had previous coronary artery bypass grafting using an in situ right gastroepiploic artery.
著者: Murata, Hiroaki / Inoue, Haruka / Sumikawa, Koji
発行日: 2010年 4月
出版者: Japanese Society of Anesthesiologists / 日本麻酔科学会
引用: Journal of anesthesia, 24(2), pp.264-267; 2010
抄録: We describe successful anesthetic management during living-donor liver transplantation in a 63-year-old man with previous coronary artery bypass grafting (CABG) that employed an in situ right gastroepiploic artery (RGEA). Anesthesia was maintained with 1.5% isoflurane in air/oxygen and fentanyl. A five-lead electrocardiogram, transesophageal echocardiogram, and pacing pulmonary artery catheter evaluated cardiac function. A pacing wire was inserted through the catheter to prepare for intraoperative severe bradyarrhythmia. Olprinone and nicorandil were continuously infused to prevent decrease in coronary arterial blood flow and the collapse of cardiac function. Avoiding disruption of circulation to coronary arteries through injury or spasm of the RGEA graft and preparing for cardiac insufficiency during liver transplantation of a patient with previous CABG using an in situ RGEA is critical.
キーワード: Bypass grafting / Coronary artery / Liver transplantation / Right gastroepiploic artery
URI: http://hdl.handle.net/10069/25158
ISSN: 09138668
DOI: 10.1007/s00540-010-0892-7
PubMed ID: 20191293
権利: © Japanese Society of Anesthesiologists 2010 / The original publication is available at www.springerlink.com
資料タイプ: Journal Article
原稿種類: author
出現コレクション:130 学術雑誌論文

引用URI : http://hdl.handle.net/10069/25158

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