Korean J Crit Care Med.  2009 Aug;24(2):111-114. 10.4266/kjccm.2009.24.2.111.

Cardiac Arrest after Aortic Cross Clamping during Surgery for an Abdominal Aortic Aneurysm in a Patient with Coronary Artery Disease and Aortic Regurgitation: A Case Report

• Jeon WJ
• Shim JH
• Hong JB
• Kim KH
• Cho SY

• KMID: 2228357
• DOI: http://doi.org/10.4266/kjccm.2009.24.2.111

Abstract

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.

Keyword

abdominal aortic aneurysm; aortic cross clamp; cardiac arrest

MeSH Terms

Aortic Aneurysm
Aortic Aneurysm, Abdominal
Aortic Valve Insufficiency
Constriction
Coronary Artery Disease
Coronary Vessels
Heart Arrest
Humans