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KMID : 0356920080540010088
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Korean Journal of Anesthesiology
2008 Volume.54 No. 1 p.88 ~ p.93
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Total Intravenous Anesthesia for Open Heart Surgery in a Patient with a Moyamoya Disease
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Song Seok-Young
Cho Cheol-Beom
Jung Jin-Yong
Rho Woon-Seok
Kim Bong-Il
Lee Sub
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Abstract
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Moyamoya disease (MMD) is a progressive cerebrovascular occlusive disease of the internal carotid arteries and anterior and middle cerebral arteries. Non-neurological surgery in patients with MMD is often complicated by cerebral ischemia or infarction. The goals of perioperative management are to maintain normotension, normocarpnia, normovolemia and normothermia. Here we report a case of a patient with MMD who underwent patch closure of an atrial septal defect and pulmonary valvotomy by use of a normothermic and non-hemodiluted cardiopulmonary bypass. To prevent intraoperative neurological complications we performed total intravenous anesthesia with propofol, made burst suppression in EEG and monitored the jugular bulb oxygen saturation (SjvO2) for cerebral desaturation. (Korean J Anesthesiol 2008; 54: 88∼93)
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KEYWORD
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anesthesia, cardiac surgery, jugular bulb oxygen saturation, Moyamoya disease, propofol
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