INTRAOPERATIVE TRANSESOPHAGEAL ECHOCARDIOGRAPHY IN ORTHOTOPIC LIVER-TRANSPLANTATION IN A PATIENT WITH HYPERTROPHIC CARDIOMYOPATHY

被引：12

作者：

LIM, YC ^{[1
]}

DOBLAR, DD ^{[1
]}

FRENETTE, L ^{[1
]}

FAN, PH ^{[1
]}

POPLAWSKI, S ^{[1
]}

NANDA, NC ^{[1
]}

机构：

[1] UNIV ALABAMA,DEPT ANESTHESIOL,BIRMINGHAM,AL 35233

来源：

JOURNAL OF CLINICAL ANESTHESIA | 1995年 / 7卷 / 03期

关键词：

CARDIOMYOPATHY; HYPERTROPHIC; ECHOCARDIOGRAPHY; TRANSESOPHAGEAL; LIVER TRANSPLANTATION; ORTHOTOPIC;

D O I：

10.1016/0952-8180(94)00049-A

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

With improvements in the surgical technique for orthotopic liver transplantation, patients with significant underlying systemic disease are considered candidates for transplantation, thus increasing the complexity of the medical management of these patients and necessitating additional monitoring in order to minimize the anesthetic risk. We describe the anesthetic management of orthotopic liver transplantation for a patient with severe hypertrophic cardiomyopathy and mitral insufficiency. In this case, transesophageal echocardiography proved useful in the management of the postreperfusion period of the surgical procedure.

引用

页码：245 / 249

页数：5

共 12 条

[1]

Lake, Changing indications for liver transplantation, Gastroenterol Clin No Am, 22, pp. 213-229, (1992)

[2]

Stoelting, Dierdorf, Cardiomyopathies, Anesthesia and Co-existing Disease, pp. 93-102, (1993)

[3]

Stoelting, Dierdorf, Valvular heart disease, Anesthesia and Co-existing, pp. 21-36, (1993)

[4]

Gelman, Kang, Pearson, Anesthetic considerations in liver transplantation, Anesthesia for Organ Transplantation, pp. 115-140, (1992)

[5]

Maron, Fararapazir, Sudden death in hypertrophic cardiomyopathy, Circulation, 85, pp. 157-163, (1992)

[6]

Blanchard, Ross, Hypertrophic cardiomyopathy: prognosis with medical or surgical therapy, Clin Cardiol, 14, pp. 11-19, (1991)

[7]

Maron, Bonow, Cannon, Leon, Epstein, Hypertrophic cardiomyopathy. Interrelations of clinical manifestations, pathophysiology and therapy (1), N Engl J Med, 316, pp. 780-789, (1987)

[8]

Maron, Bonow, Cannon, Leon, Epstein, Hypertrophic cardiomyopathy. Interrelations of clinical manifestations, pathophysiology and therapy (2), N Engl J Med, 316, pp. 844-852, (1987)

[9]

Kang, Gelman, Liver transplantation, Anesthesia and Organ Transplantation, pp. 139-185, (1987)

[10]

Oliver, DeCastro, Strickland, Uncommon diseases and cardiac anesthesia, Cardiac Anesthesia, pp. 819-864, (1993)

← 1 2 →