Anesthetic management of external iliac artery transection in a morbidly obese patient with Klippel-Trenaunay-Weber syndrome: a case report

被引：1

作者：

Hirai, Naoki ^{[1
]}

Kinoshita, Hirotaka ^{[1
]}

Kitayama, Masato ^{[1
]}

Kushikata, Tetsuya ^{[1
]}

Hirota, Kazuyoshi ^{[1
,2
,3
]}

机构：

[1] Hirosaki Univ, Dept Anesthesiol, Grad Sch Med, 5 Zaifu Cho, Hirosaki 0368562, Japan

[2] Hirosaki Univ, Dept Perioperat Med Community Healthcare, Grad Sch Med, 5 Zaifu Cho, Hirosaki 0368562, Japan

[3] Hirosaki Univ, Dept Perioperat Stress Management, Grad Sch Med, 5 Zaifu Cho, Hirosaki 0368562, Japan

来源：

JA CLINICAL REPORTS | 2023年 / 9卷 / 01期

关键词：

Klippel-Trenaunay-Weber syndrome; Obesity; Regional saturation of oxygen; Regional anesthesia; Airway management; Hemodynamic system; ANALGESIA; LIMB;

D O I：

10.1186/s40981-023-00609-9

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

BackgroundWe report the anesthetic management of an external iliac artery transection in a morbidly obese patient with Klippel-Trenaunay-Weber syndrome (KTWS).Case presentationA 47-year-old man with KTWS was scheduled for a right external iliac artery transection. Preoperative CT showed a right external iliac artery aneurysm, a right superficial femoral artery aneurysm, and developed collateral vessels. General anesthesia was maintained with desflurane, remifentanil, and rocuronium bromide. After the transection of the right external iliac artery, the regional saturation of oxygen (rSO(2)) value of the right femoral did not decrease. There was no significant hemodynamic change before or after the transection. A non-ultrasound-guided rectus abdominis sheath block was performed due to the many collateral vessels. After extubation, the patient did not complain of postoperative pain.ConclusionsIn the transection of lower-extremity blood arteries under laparotomy in patients with KTWS, rSO(2) monitoring, hemodynamic monitoring, and combined regional anesthesia could be useful.

引用

页数：4

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