Anesthetic management of a patient with a history of Batista procedure for dilated cardiomyopathy undergoing gastric surgery.
We experienced anesthetic management for an operation to remove a hemorrhagic gastric submucosal tumor in a patient who had undergone left ventricular volume reduction (the Batista procedure) for dilated cardiomyopathy (DCM) 2 years previously. Preoperative evaluations indicated the relapse of severe DCM. Intravenous and epidural anesthesia was employed with the aid of an intraaortic balloon pump (IABP). Safe anesthetic management was achieved under the guidance of a Swan-Ganz catheter without inducing overreduction of afterload or excessive preload.
Honda
Aki
A
Department of Anesthesiology, Kitasato University School of Medicine, 1-15-1 Kitasato, Sagimahara 228-8555, Japan.
Arai
Tamie
T
Akiyama
Maki
M
Masuda
Eriko
E
Kobayashi
Mizuka
M
Hoka
Sumio
S
D000767:Anesthesia, Epidural / Q000379:methods*; D000768:Anesthesia, General / Q000379:methods*; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D000779:Anesthetics, Local / Q000008:administration & dosage; D002045:Bupivacaine / Q000008:administration & dosage; D002311:Cardiomyopathy, Dilated / Q000150:complications*; D002407:Catheterization, Swan-Ganz / Q000379:methods; D048909:Diabetes Complications / Q000150:complications; D005283:Fentanyl / Q000008:administration & dosage; D005753:Gastric Mucosa / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000379:methods; D007676:Kidney Failure, Chronic / Q000150:complications; D008297:Male; D008874:Midazolam / Q000008:administration & dosage; D008875:Middle Aged; D003473:Neuromuscular Nondepolarizing Agents / Q000008:administration & dosage; D015742:Propofol / Q000008:administration & dosage; D012008:Recurrence; D013274:Stomach Neoplasms / Q000601:surgery*; D014673:Vecuronium Bromide / Q000008:administration & dosage
D018686:Anesthetics, Intravenous; D000779:Anesthetics, Local; D003473:Neuromuscular Nondepolarizing Agents; D014673:Vecuronium Bromide; D008874:Midazolam; D005283:Fentanyl; D002045:Bupivacaine; D015742:Propofol