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ACC : Acute and Critical Care



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HOME > Acute Crit Care > Volume 24(2); 2009 > Article
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

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Department of Anesthesiology and Paine Medicine, Hanyang University College of Medicine, Guri Hospital, Guri, Korea.

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.

ACC : Acute and Critical Care