| Article ID | Journal | Published Year | Pages | File Type |
|---|---|---|---|---|
| 2763901 | Journal of Clinical Anesthesia | 2007 | 4 Pages |
Abstract
A surgical patient with ventricular septal rupture after acute myocardial infarction is presented. The primary concern of general anesthesia was in the maintenance of systemic arterial pressure and reduction of afterload. General anesthesia was induced with a combination of fentanyl, ketamine, and propofol, which successfully suppressed fluctuations of hemodynamic variables associated with induction of anesthesia and tracheal intubation. Intravenous milrinone was used for inotropic support and reduction of systemic vascular resistance. The ventricular septal rupture was successfully repaired.
Related Topics
Health Sciences
Medicine and Dentistry
Anesthesiology and Pain Medicine
Authors
Ryoji Iida, Keizo Kajiwara, Shigeru Saeki, Setsuro Ogawa,