[Anesthetic management with ATP for endovascular thoracic aortic repair].
A 78-year-old man with thoracic aortic aneurysm was scheduled for endovascular stent-graft surgery without cardiopulmonary bypass. He had a history of myocardial infarction five months before and echocardiography revealed ejection fraction of 37%. Deployment of the stent-graft was performed during third degree atrioventricular (A-V) block of 32 seconds produced by adenosine 5'-triphosphate (ATP) 30 mg. There were no complications during this procedure. ATP is a convenient and suitable agent to produce transient A-V block for the precise deployment of the stent-graft in these patients with severe cardiopulmonary complications.
Nakaigawa
Yasushi
Y
Department of Anesthesiology, Saitama Red Cross Hospital, Saitama 338-8553.
Suzuki
Hideo
H
Ishii
Ryousuke
R
Fukuda
Hirokazu
H
Seo
Norimasa
N
D000255:Adenosine Triphosphate; D000368:Aged; D000768:Anesthesia, General; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006327:Heart Block / Q000139:chemically induced; D006801:Humans; D008297:Male; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome
D000255:Adenosine Triphosphate