Document Detail

Anesthesia for repair of ventricular septal rupture after acute myocardial infarction.
MedLine Citation:
PMID:  17967678     Owner:  NLM     Status:  MEDLINE    
A surgical patient with ventricular septal rupture after acute myocardial infarction is presented. The primary concern of general anesthesia was in the maintenance of systemic arterial pressure and reduction of afterload. General anesthesia was induced with a combination of fentanyl, ketamine, and propofol, which successfully suppressed fluctuations of hemodynamic variables associated with induction of anesthesia and tracheal intubation. Intravenous milrinone was used for inotropic support and reduction of systemic vascular resistance. The ventricular septal rupture was successfully repaired.
Ryoji Iida; Keizo Kajiwara; Shigeru Saeki; Setsuro Ogawa
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical anesthesia     Volume:  19     ISSN:  0952-8180     ISO Abbreviation:  J Clin Anesth     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-10-30     Completed Date:  2007-12-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8812166     Medline TA:  J Clin Anesth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  463-6     Citation Subset:  IM    
Department of Anesthesiology, Nihon University School of Medicine, 30-1 Oyaguchi-Kamimachi, Itabashi-Ku, Tokyo 173-8610, Japan.
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MeSH Terms
Anesthesia, General / methods*
Heart Rupture, Post-Infarction / physiopathology,  surgery*
Heart Septum / surgery*
Middle Aged
Myocardial Infarction / complications*
Vascular Resistance

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