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Case Report
- Cardiac Arrest after Aortic Cross Clamping during Surgery for an Abdominal Aortic Aneurysm in a Patient with Coronary Artery Disease and Aortic Regurgitation: A Case Report
- Woo Jae Jeon, Jae Hang Shim, Jin Bum Hong, Kyoung Hun Kim, Sang Yun Cho
- Korean J Crit Care Med. 2009;24(2):111-114.
- DOI: https://doi.org/10.4266/kjccm.2009.24.2.111
- 2,871 View
- 31 Download
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Abstract
PDF - Patients with chronic aortic regurgitation have a hemodynamically fragile equilibrium; increased afterload during infrarenal aortic cross-clamping and acute decompensation. The tolerance of patients with severe coronary artery disease to the stress of infrarenal aortic cross-clamping differs from patients without overt coronary artery disease. Therefore, careful anesthetic management is needed during infrarenal aortic cross-clamping in patients with aortic regurgitation and coronary artery disease. We describe the anesthetic management of a man with an infrarenal aortic aneurysm that underwent cardiac arrest after aortic-cross clamping for aortoiliac bypass surgery.
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