Korean J Anesthesiol.  1997 Aug;33(2):381-384. 10.4097/kjae.1997.33.2.381.

Anesthesia for Coronary Artery Bypass Grafting without Extracorporeal Circulation: One case report

• Kwon JH
• Mo KS
• Cho YR

• KMID: 2091145
• DOI: http://doi.org/10.4097/kjae.1997.33.2.381

Abstract

Coronary artery bypass grafting (CABG) without extracorporeal circulation (ECC) is now an accepted technique of myocardial revascularization in selective cases of coronary arterial occlusive disease. We experienced a case of CABG without ECC in a 20 year old female patient with complete occlusion of the right coronary artery. Anesthesia was induced and maintained with fentanyl, midazolam and isoflurane. Nitroglycerine and dopamine were given to stabilize the hemodynamics during intra- and post-operative periods. And esmolol was administered with a loading dose of 30 mg over 1 min, followed by a continuous infusion of 50~100 g/kg/min to maintain the heart rate (50~60 beats/min) and systolic blood pressure (60~80 mmHg) during distal anastomosis. The patient was recovered uneventfully and discharged on the 8th postoperative day.

Keyword

Cardiopulmonary bypass, coronary artery bypass grafting

MeSH Terms

Anesthesia*
Arterial Occlusive Diseases
Blood Pressure
Coronary Artery Bypass*
Coronary Vessels*
Dopamine
Extracorporeal Circulation
Female
Fentanyl
Heart Rate
Hemodynamics
Humans
Isoflurane
Midazolam
Myocardial Revascularization
Nitroglycerin
Young Adult
Dopamine
Fentanyl
Isoflurane
Midazolam
Nitroglycerin