Clinical Medicine Journal
Articles Information
Clinical Medicine Journal, Vol.1, No.3, Aug. 2015, Pub. Date: Jun. 2, 2015
A Case Study and Anesthetic Implications of Combined Glenn, TV Replacement and CABG Surgery
Pages: 94-97 Views: 4228 Downloads: 988
Authors
[01] Kianoush Saberi, Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran.
[02] Mehrdad Salehi, Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran.
[03] Roya Sattarzadeh, Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran.
[04] Mehrzad Rahmanian, Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran.
[05] Anahita Tavoosi, Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran.
[06] Mohammad Amin Gorji Mahlabani, Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran.
[07] Shahnaz Sharifi, Imam Khomeini Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Abstract
Managing a patient with single ventricle is always a challenging situation for an anesthesiologist. Maintaining the single ventricle function and avoiding sudden changes in patient’s hemodynamic are of most important key notes to be considered. But when a combination of operation perform on these patients, further attention is essential in using of drugs and techniques. Every wrong attempt might result in a catastrophic income. In present case, a rare 45 years-old male known case of Ebstein’sanomaly, who was candidated for Glenn and tricuspid valve replacement (TVR) and coronary artery bypass graft (CABG) surgery, is presented. Necessary information in perioperative management of these patients are also provided. After the surgery, he was discharged from ICU in presence of suitable health status.
Keywords
Glenn Surgery, Coronary Artery Bypass Surgery, Cardiopulmonary Bypass, Cardiopulmonary
References
[01] G. Leyvi and J. D. Wasnick, "Single-Ventricle Patient: Pathophysiology and Anesthetic Management," Journal of Cardiothoracic and Vascular Anesthesia, vol. 24, no. 1 (February), pp. 121-130, 2010.
[02] D. Chowdhury, "Pathophysiology of Congenital Heart Diseases," Annals of Cardiac Anaesthesia, no. 10, p. 19–26, 2007.
[03] J. Boldt, "Volume Therapy in Cardiac Surgery: Does the Kind of Fluid Matter?," Journal of Cardiothoracic and Vascular Anesthesia, vol. 13, no. 6 (December), pp. 752-763, 1999.
[04] P.-G. Chassot and D. A. Bettex, "Anesthesia and Adult Congenital Heart Disease," Journal of Cardiothoracic and Vascular Anesthesia, vol. 20, no. 3 (June), pp. 414-437, 2006.
[05] R. P. Alston, "Anaesthesia for off-pump," ANAESTHESIA AND INTENSIVE CARE MEDICINE, vol. 10, no. 9, pp. 421-423, 2009.
[06] B. G. Maxwell and K. J. Eberhardt, "Anesthetic and perioperative care of high-risk adults with congenital heart disease: Managing ventricular dysfunction and minimal reserve," Progress in Pediatric Cardiology, vol. 36, p. 17–21, 2014.
[07] A. Al-Eyadhy, "Mechanical ventilation strategy following Glenn and Fontan surgeries: On going challenge!," Journal of the Saudi Heart Association, vol. 21, p. 153–157, 2009.
[08] T. Cotts, P. Khairy and A. R. O. e. al., "Clinical research priorities in adult congenital heart disease," International Journal of Cardiology, vol. 171, p. 351–360, 2014.
[09] J. Cai, Z. Su and Z. S. e. al, "Nitric Oxide and Milrinone: Combined Effect on Pulmonary Circulation After Fontan-Type Procedure: A Prospective, Randomized Study," Ann Thorac Surg, vol. 86, p. 882–8, 2008.
[10] D. McGlothlin and N. Ivascu, "Anesthesia and Pulmonary Hypertension," Progress in Cardiovascular Diseases, vol. 55, p. 199–217, 2012.
[11] D. W. Brown, K. Gauvreau and A. J. P. e. al, "Cardiac magnetic resonance versus routine cardiac catheterization before bidirectional Glenn anastomosis: Long-term follow-up of a prospective randomized trial," The Journal of Thoracic and Cardiovascular Surgery, no. November, pp. 1172-1178, 2013.
[12] M. D. Feo, A. Renzulli and F. O. e. al., "The risk of stroke following CABG: one possible strategy to reduce it?," International Journal of Cardiology, vol. 98, p. 261– 266, 2005.
[13] G. Bertolizio, J. A.DiNardo and P. C. e. al, "Evaluation of Cerebral Oxygenation and Perfusion With Conversion From an Arterial-to-Systemic Shunt Circulation to the Bidirectional Glenn Circulation in Patients With Univentricular Cardiac Abnormalities," Journal of Cardiothoracic and Vascular Anesthesia, vol. 29, no. 1(February), p. 95–100, 2015.
[14] L. Szelkowski, "current trends in preoperative,intraoperative and postoperative care of the adult cardiac surgery patient," Current Problems in Surgery, no. 52, p. 531–569, 2015.
600 ATLANTIC AVE, BOSTON,
MA 02210, USA
+001-6179630233
AIS is an academia-oriented and non-commercial institute aiming at providing users with a way to quickly and easily get the academic and scientific information.
Copyright © 2014 - American Institute of Science except certain content provided by third parties.