[Anesthetic management of a patient undergoing hemodialysis for coronary artery bypass surgery without extracorporeal circulation].
A 58-year-old female with renal failure underwent anastomosis of the left internal mammary artery to the left anterior descending branch of coronary artery without extracorporeal circulation (ECC) and cardiac arrest. Anesthesia was maintained smoothly with modified NLA under normothermia. Without use of ECC, which often disturbs water and electrolyte metabolism, the patient's physical status remained quite stable. Though the left anterior descending artery was clamped for 20 minutes during the anastomosis, there was no complication, including perioperative myocardial infarction. For high risk patients with ECC such as patients with renal failure, respiratory failure and cerebrovascular diseases, this method is useful for the coronary artery bypass surgery.
Shibata
Y
Y
Department of Anesthesiology, Kumamoto Chuou Hospital.
Kukita
I
I
Baba
T
T
Goto
T
T
Sakata
R
R
D001026:Coronary Artery Bypass; D005260:Female; D006801:Humans; D008875:Middle Aged; D009458:Neuroleptanalgesia; D006435:Renal Dialysis; D051437:Renal Insufficiency / Q000150:complications* / Q000628:therapy