[Anesthetic managements for pericardiectomy of three patients with constrictive pericarditis].
We experienced three patients with constrictive pericarditis who underwent pericardiectomy. Percutaneous cardiopulmonary support (PCPS) was carried out in two patients because of unstable hemodynamics caused by massive bleeding or cardiac compression due to surgical manipulation. In the other patient with severe tachycardia, we prepared PCPS before the induction of anesthesia, and could manage the whole course of anesthesia satisfactorily. It is suggested that PCPS is the most reliable way to support hemodynamics during anesthesia in patients with constrictive pericarditis.
Kurokawa
S
S
Department of Anesthesiology, Niigata University School of Medicine.
Fukuda
S
S
Yamakura
T
T
Morioka
M
M
Denda
S
S
Shimoji
K
K
D000758:Anesthesia; D016063:Blood Loss, Surgical; D002303:Cardiac Output, Low / Q000628:therapy; D002315:Cardiopulmonary Bypass; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D007431:Intraoperative Complications / Q000628:therapy*; D008875:Middle Aged; D010492:Pericardiectomy; D010494:Pericarditis, Constrictive / Q000601:surgery*