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

• Murata, Hiroaki

• Inoue, Haruka

• Sumikawa, Koji

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.

Journal of anesthesia, 24(2), pp.264-267; 2010

収録刊行物

• Journal of anesthesia

  Journal of anesthesia 24 (2), 264-267, 2010-04

  Japanese Society of Anesthesiologists

キーワード

• Bypass grafting
• Coronary artery
• Liver transplantation
• Right gastroepiploic artery

詳細情報

• CRID: 1050287297239644032
• NII論文ID: 10027266568
• NII書誌ID: AA10852931
• ISSN: 09138668
• ISSN: 14388359
• HANDLE: 10069/25158
• Web Site: https://nagasaki-u.repo.nii.ac.jp/records/14277
• Web Site: https://search.jamas.or.jp/link/ui/2010309626
• 本文言語コード: en
• 資料種別: journal article
• データソース種別:
  • IRDB
  • CiNii Articles