Korean J Anesthesiol.
1998 Dec;35(6):1210-1215. 10.4097/kjae.1998.35.6.1210.
Anesthetic Experience for Minimally Invasive Direct Coronary Artery Bypass Surgery (MIDCAB): A case report
- Affiliations
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- 1Department of Anesthesiology, School of Medicine, Keimyung University, Taegu, Korea.
- KMID: 2237644
- DOI: http://doi.org/10.4097/kjae.1998.35.6.1210
Abstract
- Minimally invasive direct coronary artery bypass surgery (MIDCAB) is now an accepted technique of myocardial revascularization in selective cases of coronary arterial occlusive disease. A 55-year-old male admitted for frequent anterior chest pain who was heavy alcoholics and smoker. The lesion was nearly total (95%) occlusion of proximal left anterior descending artery. We herein report a case of successful MIDCAB with mini-sternotomy approach to left anterior descending artery in which we used propofol for induction and maintenance, additionally, adenosine and esmolol for ischemia management and providing a slower rate and hence a "quieter" field for the surgeon to work.
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