Anesthetic management of Stanford type B acute aortic dissection that occurred during transcatheter aortic valve implantation under monitored anesthesia care: A case report

We report a case involving anesthetic management of Stanford type B acute aortic dissection occurred during transcatheter aortic valve implantation (TAVI) under monitored anesthesia care (MAC) in a patient with aortic stenosis (AS). An 87-year-old woman was undergoing TAVI under MAC for severe AS. D...

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Autores principales: Okamoto, Shusuke, Okada, Takuya, Obata, Norihiko, Yamane, Yu, Masada, Koichiro, Iseki, Masahiko, Nagae, Masaharu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10623275/
https://www.ncbi.nlm.nih.gov/pubmed/37928047
http://dx.doi.org/10.1016/j.heliyon.2023.e21278
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author Okamoto, Shusuke
Okada, Takuya
Obata, Norihiko
Yamane, Yu
Masada, Koichiro
Iseki, Masahiko
Nagae, Masaharu
author_facet Okamoto, Shusuke
Okada, Takuya
Obata, Norihiko
Yamane, Yu
Masada, Koichiro
Iseki, Masahiko
Nagae, Masaharu
author_sort Okamoto, Shusuke
collection PubMed
description We report a case involving anesthetic management of Stanford type B acute aortic dissection occurred during transcatheter aortic valve implantation (TAVI) under monitored anesthesia care (MAC) in a patient with aortic stenosis (AS). An 87-year-old woman was undergoing TAVI under MAC for severe AS. During the surgery, the patient suddenly moved possibly because of pain. This was followed by hemodynamic collapse. She was then transitioned to general anesthesia, and extracorporeal membrane oxygenation (ECMO) was initiated. Transesophageal echocardiography revealed a Stanford type B acute aortic dissection, which was safely managed perioperatively with appropriate interventions.
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spelling pubmed-106232752023-11-04 Anesthetic management of Stanford type B acute aortic dissection that occurred during transcatheter aortic valve implantation under monitored anesthesia care: A case report Okamoto, Shusuke Okada, Takuya Obata, Norihiko Yamane, Yu Masada, Koichiro Iseki, Masahiko Nagae, Masaharu Heliyon Case Report We report a case involving anesthetic management of Stanford type B acute aortic dissection occurred during transcatheter aortic valve implantation (TAVI) under monitored anesthesia care (MAC) in a patient with aortic stenosis (AS). An 87-year-old woman was undergoing TAVI under MAC for severe AS. During the surgery, the patient suddenly moved possibly because of pain. This was followed by hemodynamic collapse. She was then transitioned to general anesthesia, and extracorporeal membrane oxygenation (ECMO) was initiated. Transesophageal echocardiography revealed a Stanford type B acute aortic dissection, which was safely managed perioperatively with appropriate interventions. Elsevier 2023-10-20 /pmc/articles/PMC10623275/ /pubmed/37928047 http://dx.doi.org/10.1016/j.heliyon.2023.e21278 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Okamoto, Shusuke
Okada, Takuya
Obata, Norihiko
Yamane, Yu
Masada, Koichiro
Iseki, Masahiko
Nagae, Masaharu
Anesthetic management of Stanford type B acute aortic dissection that occurred during transcatheter aortic valve implantation under monitored anesthesia care: A case report
title Anesthetic management of Stanford type B acute aortic dissection that occurred during transcatheter aortic valve implantation under monitored anesthesia care: A case report
title_full Anesthetic management of Stanford type B acute aortic dissection that occurred during transcatheter aortic valve implantation under monitored anesthesia care: A case report
title_fullStr Anesthetic management of Stanford type B acute aortic dissection that occurred during transcatheter aortic valve implantation under monitored anesthesia care: A case report
title_full_unstemmed Anesthetic management of Stanford type B acute aortic dissection that occurred during transcatheter aortic valve implantation under monitored anesthesia care: A case report
title_short Anesthetic management of Stanford type B acute aortic dissection that occurred during transcatheter aortic valve implantation under monitored anesthesia care: A case report
title_sort anesthetic management of stanford type b acute aortic dissection that occurred during transcatheter aortic valve implantation under monitored anesthesia care: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10623275/
https://www.ncbi.nlm.nih.gov/pubmed/37928047
http://dx.doi.org/10.1016/j.heliyon.2023.e21278
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