title: Anesthetic management of a patient with severe dilated cardiomyopathy and an automatic implantable cardioverter-defibrillator (AICD) during total gastrectomy.
abstract: We report a case of severe dilated cardiomyopathy with an automatic implantable cardioverter-defibrillator (ICD) undergoing total gastrectomy. During the operation, the defibrillation function of the ICD was suspended and its pacing function was used solely in VOO mode. Electrodes of an external defibrillator were attached on the chest wall, and a pulmonary arterial (PA) catheter with a ventricle pacing port was inserted into the pulmonary artery. Proper perioperative management, including measures that the patient underwent the surgery uneventfully and could attain a rapid and successful discharge from the intensive care unit.
authors.affiliation: Department of Anesthesiology and Resuscitology, Okayama University Graduate School of Medicine and Dentistry, 2-5-1 Shikata-cho, Okayama, 700-8558, Japan.
authors.forename: Mamoru
authors.initials: M
authors.lastname: Takeuchi
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Iwasaki
authors.forename: Tomoyo
authors.initials: T
authors.lastname: Oue
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Taga
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Toda
authors.forename: Katsunori
authors.initials: K
authors.lastname: Oe
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Morita
mesh_terms: D000768:Anesthesia, General; D002304:Cardiac Pacing, Artificial; D002311:Cardiomyopathy, Dilated / Q000150:complications* / Q000188:drug therapy; D002316:Cardiotonic Agents / Q000627:therapeutic use; D017147:Defibrillators, Implantable; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D011182:Postoperative Care; D013274:Stomach Neoplasms / Q000601:surgery
chemical_list: D002316:Cardiotonic Agents