anesthetic management in a patient with type a aortic dissection and superior vena cava syndrome

نویسندگان

ziae totonchi department of cardiac anesthesiology, rajaie cardiovascular medical and research center, iran university of medical sciences, tehran, ir iran

nader givtaj department of cardiac surgery, rajaie cardiovascular medical and research center, iran university of medical sciences, tehran, ir iran

mozhgan sakhaei department of cardiac anesthesiology, rajaie cardiovascular medical and research center, iran university of medical sciences, tehran, ir iran

afshin foroutan department of cardiac anesthesiology, rajaie cardiovascular medical and research center, iran university of medical sciences, tehran, ir iran

چکیده

introduction induction of general anesthesia in patients with superior vena cava (svc) syndrome may cause airway obstruction and cardiovascular collapse. case presentation herein, we introduced a patient with the diagnosis of dissecting aneurysm of the ascending aorta who was candidate for emergency surgery. he also had symptoms of svc syndrome. to maintain airway patency during anesthetic management, we decided to perform femoro-femoral cardiopulmonary bypass followed by general anesthesia and tracheal intubation. conclusions femoro-femoral bypass prior to initiation of sternotomy is a safe and easy method in patients with aortic dissection and svc syndrome in whom earlier endotracheal intubation may not be feasible.

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عنوان ژورنال:
research in cardiovascular medicine

جلد ۴، شماره ۳، صفحات ۰-۰

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