title: Anesthetic management of a patient with a history of Batista procedure for dilated cardiomyopathy undergoing gastric surgery.
abstract: 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.
authors.affiliation: Department of Anesthesiology, Kitasato University School of Medicine, 1-15-1 Kitasato, Sagimahara 228-8555, Japan.
authors.forename: Aki
authors.initials: A
authors.lastname: Honda
authors.forename: Tamie
authors.initials: T
authors.lastname: Arai
authors.forename: Maki
authors.initials: M
authors.lastname: Akiyama
authors.forename: Eriko
authors.initials: E
authors.lastname: Masuda
authors.forename: Mizuka
authors.initials: M
authors.lastname: Kobayashi
authors.forename: Sumio
authors.initials: S
authors.lastname: Hoka
mesh_terms: 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
chemical_list: D018686:Anesthetics, Intravenous; D000779:Anesthetics, Local; D003473:Neuromuscular Nondepolarizing Agents; D014673:Vecuronium Bromide; D008874:Midazolam; D005283:Fentanyl; D002045:Bupivacaine; D015742:Propofol