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KMID : 0604020090240020111
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Korean Journal of Critical Care Medicine
2009 Volume.24 No. 2 p.111 ~ p.114
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Cardiac Arrest after Aortic Cross Clamping during Surgery for an Abdominal Aortic Aneurysm in a Patient with Coronary Artery Disease and Aortic Regurgitation
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Jeon Woo-Jae
Cho Sang-Yun
Shim Jae-Hang
Kim Kyoung-Hun
Hong Jin-Bum
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Abstract
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Patients with chronic aortic regurgitation have a hemodynamically fragile equilibrium; increased afterload during infrarenal aortic cross-clamping and acute decompensation. The tolerance of patients with severe coronary artery disease to the stress of infrarenal aortic cross-clamping differs from patients without overt coronary artery disease. Therefore, careful anesthetic management is needed during infrarenal aortic cross-clamping in patients with aortic regurgitation and coronary artery disease. We describe the anesthetic management of a man with an infrarenal aortic aneurysm that underwent cardiac arrest after aortic-cross clamping for aortoiliac bypass surgery.
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KEYWORD
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abdominal aortic aneurysm, aortic cross clamp, cardiac arrest
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