Anaesthesia Management in Idiopathic Pulmonary Artery Aneurysm Surgery.
Eda BalcıZeliha Aslı DemirAyşegül ÖzgökÜmit KaradenizPublished in: Turkish journal of anaesthesiology and reanimation (2019)
Pulmonary artery (PA) aneurysm is a very rare disease. Surgical treatment is important in symptomatic patients. Due to its anatomical condition, the rupture of such aneurysms may lead to sudden right ventricular failure or sudden death. The aim of this report is to present the use of balanced general anaesthesia management in a patient who underwent PA aneurysm repair surgery. Surgical repair was planned in a 55-year-old man with chest and back pain as well as haemoptysis. With the help of balanced anaesthesia, stress on the aneurysm wall was prevented by avoiding sudden blood pressure increases. With appropriate ventilation methods, we attempted to avoid an increase in pulmonary vascular resistance, and therefore, the pressure on the aneurysm, as well as an increase in the postoperative right ventricle. With the help of appropriate anaesthesia and ventilation techniques, uncomplicated and successful anaesthetic management was effected in the repair of a PA aneurysm.
Keyphrases
- pulmonary artery
- coronary artery
- pulmonary hypertension
- minimally invasive
- blood pressure
- pulmonary arterial hypertension
- end stage renal disease
- coronary artery bypass
- newly diagnosed
- chronic kidney disease
- ejection fraction
- abdominal aortic aneurysm
- peritoneal dialysis
- metabolic syndrome
- intensive care unit
- coronary artery disease
- mechanical ventilation
- hypertensive patients
- respiratory failure
- insulin resistance
- skeletal muscle
- mitral valve
- heat stress
- urinary tract infection