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Anesthetic Management in a Patient With Type A Aortic Dissection and Superior Vena Cava Syndrome
INTRODUCTION: Induction of general anesthesia in patients with superior vena cava (SVC) syndrome may cause airway obstruction and cardiovascular collapse. CASE PRESENTATION: Herein, we introduced a patient with the diagnosis of dissecting aneurysm of the ascending aorta who was candidate for emergen...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Kowsar
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4588228/ https://www.ncbi.nlm.nih.gov/pubmed/26436073 http://dx.doi.org/10.5812/cardiovascmed.27424v2 |
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author | Totonchi, Ziae Givtaj, Nader Sakhaei, Mozhgan Foroutan, Afshin Chitsazan, Mitra Chitsazan, Mandana Pouraliakbar, Hamidreza |
author_facet | Totonchi, Ziae Givtaj, Nader Sakhaei, Mozhgan Foroutan, Afshin Chitsazan, Mitra Chitsazan, Mandana Pouraliakbar, Hamidreza |
author_sort | Totonchi, Ziae |
collection | PubMed |
description | INTRODUCTION: Induction of general anesthesia in patients with superior vena cava (SVC) syndrome may cause airway obstruction and cardiovascular collapse. CASE PRESENTATION: Herein, we introduced a patient with the diagnosis of dissecting aneurysm of the ascending aorta who was candidate for emergency surgery. He also had symptoms of SVC syndrome. To maintain airway patency during anesthetic management, we decided to perform femoro-femoral cardiopulmonary bypass followed by general anesthesia and tracheal intubation. CONCLUSIONS: Femoro-femoral bypass prior to initiation of sternotomy is a safe and easy method in patients with aortic dissection and SVC syndrome in whom earlier endotracheal intubation may not be feasible. |
format | Online Article Text |
id | pubmed-4588228 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Kowsar |
record_format | MEDLINE/PubMed |
spelling | pubmed-45882282015-10-02 Anesthetic Management in a Patient With Type A Aortic Dissection and Superior Vena Cava Syndrome Totonchi, Ziae Givtaj, Nader Sakhaei, Mozhgan Foroutan, Afshin Chitsazan, Mitra Chitsazan, Mandana Pouraliakbar, Hamidreza Res Cardiovasc Med Case Report INTRODUCTION: Induction of general anesthesia in patients with superior vena cava (SVC) syndrome may cause airway obstruction and cardiovascular collapse. CASE PRESENTATION: Herein, we introduced a patient with the diagnosis of dissecting aneurysm of the ascending aorta who was candidate for emergency surgery. He also had symptoms of SVC syndrome. To maintain airway patency during anesthetic management, we decided to perform femoro-femoral cardiopulmonary bypass followed by general anesthesia and tracheal intubation. CONCLUSIONS: Femoro-femoral bypass prior to initiation of sternotomy is a safe and easy method in patients with aortic dissection and SVC syndrome in whom earlier endotracheal intubation may not be feasible. Kowsar 2015-08-01 /pmc/articles/PMC4588228/ /pubmed/26436073 http://dx.doi.org/10.5812/cardiovascmed.27424v2 Text en Copyright © 2015, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences. http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited. |
spellingShingle | Case Report Totonchi, Ziae Givtaj, Nader Sakhaei, Mozhgan Foroutan, Afshin Chitsazan, Mitra Chitsazan, Mandana Pouraliakbar, Hamidreza Anesthetic Management in a Patient With Type A Aortic Dissection and Superior Vena Cava Syndrome |
title | Anesthetic Management in a Patient With Type A Aortic Dissection and Superior Vena Cava Syndrome |
title_full | Anesthetic Management in a Patient With Type A Aortic Dissection and Superior Vena Cava Syndrome |
title_fullStr | Anesthetic Management in a Patient With Type A Aortic Dissection and Superior Vena Cava Syndrome |
title_full_unstemmed | Anesthetic Management in a Patient With Type A Aortic Dissection and Superior Vena Cava Syndrome |
title_short | Anesthetic Management in a Patient With Type A Aortic Dissection and Superior Vena Cava Syndrome |
title_sort | anesthetic management in a patient with type a aortic dissection and superior vena cava syndrome |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4588228/ https://www.ncbi.nlm.nih.gov/pubmed/26436073 http://dx.doi.org/10.5812/cardiovascmed.27424v2 |
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