Korean J Anesthesiol.  1980 Mar;13(1):15-20.

Anesthetic Management of Reconstructive Surgery for the Traumatic Thoracic Aortic Aneurysm

• Kim SD
• Kim BD
• Yoo SK
• Kim KW
• Kwak IY

Abstract

The management of patient undergoing thoracic aortic surgical procedures represents a major challenge for the anesthesiologists. Aortic cross-clamping and unclamping are particularly hszardous during the- course of the thoracic aortic operation. Proximal hypertension, myocardial ischemia and arrhythmia have been reported to occur after application of the aortic cross-clampmg. Removal of the cross-clamp often results in severe hypotension with subsequent myocardial, cerebral and renal ischemia. In this case, the patient was managed successfully using Regitine drip during the cross-clamp and slow release of clamp during unclamp, combined with slight overhydration just before unclamp.

MeSH Terms

Aortic Aneurysm, Thoracic*
Arrhythmias, Cardiac
Humans
Hypertension
Hypotension
Ischemia
Myocardial Ischemia
Phentolamine
Phentolamine