Anesthetic management of Stanford type B acute aortic dissection that occurred during transcatheter aortic valve implantation under monitored anesthesia care: A case report

被引：0

作者：

Okamoto, Shusuke ^{[1
]}

Okada, Takuya ^{[2
]}

Obata, Norihiko ^{[2
]}

Yamane, Yu ^{[1
]}

Masada, Koichiro ^{[1
]}

Iseki, Masahiko ^{[1
]}

Nagae, Masaharu ^{[1
]}

机构：

[1] Hyogo Prefectural Harima Himeji Gen Med Ctr, Dept Anesthesiol & Pain Clin, 3-264 Kamiya cho, Himeji 6708560, Japan

[2] Kobe Univ, Dept Surg Related, Div Anesthesiol, Grad Sch Med, 7-5-2 Kusunoki cho,Chuo ku, Kobe 6500017, Japan

来源：

HELIYON | 2023年 / 9卷 / 11期

关键词：

Transcatheter aortic valve implantation under; monitored anesthesia care; Stanford type B acute aortic dissection; Aortic stenosis; Extracorporeal membrane oxygenation; Case report; IATROGENIC DISSECTION; CONSCIOUS SEDATION; GENERAL-ANESTHESIA; REPLACEMENT; COREVALVE; BALLOON;

D O I：

10.1016/j.heliyon.2023.e21278

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

We report a case involving anesthetic management of Stanford type B acute aortic dissection occurred during transcatheter aortic valve implantation (TAVI) under monitored anesthesia care (MAC) in a patient with aortic stenosis (AS). An 87-year-old woman was undergoing TAVI under MAC for severe AS. During the surgery, the patient suddenly moved possibly because of pain. This was followed by hemodynamic collapse. She was then transitioned to general anesthesia, and extracorporeal membrane oxygenation (ECMO) was initiated. Transesophageal echocardiography revealed a Stanford type B acute aortic dissection, which was safely managed perioperatively with appropriate interventions.

引用

页数：6