관상동맥질환과 대동맥판 폐쇄부전증을 동반한 복부 대동맥류 수술 중 대동맥 겸자 후 발생한 심정지

Abstract

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.