Anesthetic management of a patient with dilated cardiomyopathy undergoing graft replacement of abdominal aortic aneurysm
Hamada, H.; Hirose, T.; Tagami, D.; Sumiyoshi, N.; Kawachi, S.; Niitsu, T.
Masui. Japanese Journal of Anesthesiology 37(11): 1377-1381
1988
ISSN/ISBN: 0021-4892 PMID: 3225908 Document Number: 325711
A 57-year-old male with dilated cardiomyopathy and aortic regurgitation underwent graft replacement of abdominal aortic aneurysm. Dilated cardiomyopathy is characterized by decreased stroke volume and increased ventricular filling pressure due to decreased myocardial contractility. Thus, it is important to avoid drug-induced myocardial depression during anesthesia and anesthesia with narcotics is said to be appropriate. In this case, we employed the technique of high dose fentanyl with diazepam as the anesthetic method. During surgery, mild hypotension and some arrhythmias occurred, but neither circulatory failure nor other complications such as renal failure were observed during and after the operation.