Anesthetic Management of Middle Aortic Syndrome in an Adult: A Case Report

被引：0

作者：

Senozan, Sean K. ^{[1
]}

Clarke, Amelia ^{[2
]}

Abraham, Abey S. ^{[1
,3
]}

Skubas, Nikolaos J. ^{[1
]}

Maldonado, Yasdet ^{[1
]}

机构：

[1] Cleveland Clin, Anesthesiol Inst, Dept Cardiothorac Anesthesiol, Cleveland, OH 44195 USA

[2] Case Western Reserve Univ, Sch Med, Cleveland, OH USA

[3] Cleveland Clin, 9500 Euclid Ave, Cleveland, OH 44195 USA

来源：

A & A PRACTICE | 2024年 / 18卷 / 02期

关键词：

DOBUTAMINE STRESS ECHOCARDIOGRAPHY; COARCTATION;

D O I：

10.1213/XAA.0000000000001749

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Middle aortic syndrome (MAS) is a rare disorder characterized by narrowing of the aorta. Depending on the location and extent of aortic narrowing, surgical management may be necessary to prevent long-term sequelae, such as stroke and congestive heart failure. We report a case of MAS and discuss the unique intraoperative anesthetic considerations including hemodynamic monitoring proximal and distal to the aortic narrowing, minimizing the risk of spinal cord ischemia, and utilization of intraoperative dobutamine stress testing to guide surgical management.

引用

页数：4

共 15 条

[1] Antifibrinolytics and cardiac surgery: The past, the present, and the future [J].

Aggarwal, Naresh K. ;

Subramanian, Arun .

ANNALS OF CARDIAC ANAESTHESIA, 2020, 23 (02) :193-199

[2]

Banaszak P, 2009, CARDIOL J, V16, P20

[3] Use of Intraoperative Dobutamine Stress Echocardiography on Outcomes of Septal Myectomy [J].

Bonanno, Alicia M. ;

Macfie, Rebekah ;

Yadava, Mrinal ;

Fischer, Katherine ;

Mannello, Meghan ;

Tuohy, C. Vaughan ;

Dewey, Elizabeth ;

Masri, Ahmad ;

Heitner, Stephen B. ;

Song, Howard K. .

SEMINARS IN THORACIC AND CARDIOVASCULAR SURGERY, 2021, 33 (04) :1037-1042

[4] Diameter and growth rate of the thoracic aorta-analysis based on serial computed tomography scans [J].

Chang, Hyoung Woo ;

Kim, Sue Hyun ;

Hakim, Arief R. ;

Chung, Suryeun ;

Kim, Dong Jung ;

Lee, Jae Hang ;

Kim, Jun Sung ;

Lim, Cheong ;

Park, Kay-Hyun .

JOURNAL OF THORACIC DISEASE, 2020, 12 (08) :4002-+

[5] Middle aortic syndrome: Distal thoracic and abdominal coarctation, a disorder with multiple etiologies [J].

Connolly, JE ;

Wilson, SE ;

Lawrence, PL ;

Fujitani, RM .

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2002, 194 (06) :774-781

[6]

Delis Konstantinos T, 2005, Perspect Vasc Surg Endovasc Ther, V17, P187, DOI 10.1177/153100350501700302

[7] Low Fibrinogen Is Associated with Increased Bleeding-Related Re-exploration after Cardiac Surgery [J].

Essa, Yasin ;

Zeynalov, Natig ;

Sandhaus, Tim ;

Hofmann, Michael ;

Lehmann, Thomas ;

Doenst, Torsten .

THORACIC AND CARDIOVASCULAR SURGEON, 2018, 66 (08) :622-628

[8] A Review of Middle Aortic Syndromes in Pediatric Patients [J].

Forman, Nell ;

Sinskey, Jina ;

Shalabi, Ahmed .

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2020, 34 (04) :1042-1050

[9]

KHURI SF, 1992, J THORAC CARDIOV SUR, V104, P94

[10] Surgical Treatment of Middle Aortic Syndrome with Takayasu Arteritis or Midaortic Dysplastic Syndrome [J].

Kim, S. M. ;

Jung, I. M. ;

Han, A. ;

Min, S. -I. ;

Lee, T. ;

Ha, J. ;

Kim, S. J. ;

Min, S. -K. .

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2015, 50 (02) :206-212

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