A case of anesthesia with tracheotomy and on-pump coronary artery bypass grafting in a one-stage for a patient with subglottic stenosis

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  • Ginoza Itaru
    Department of Anesthesiology, University of the Ryukyus Hospital
  • Watanabe Yohei
    Department of Anesthesiology, University of the Ryukyus Hospital
  • Izumi Syunsuke
    Department of Anesthesiology, University of the Ryukyus Hospital
  • Noguchi Nobuhiro
    Surgical operation center, University of the Ryukyus Hospital
  • Teruya Koji
    Department of Anesthesiology, Faculty of Medicine, University of the Ryukyus
  • Kakinohana Manabu
    Department of Anesthesiology, Faculty of Medicine, University of the Ryukyus

Bibliographic Information

Other Title
  • 声門下狭窄患者に対して一期的に気管切開術と冠動脈バイパス術を行った麻酔経験
  • 症例報告 声門下狭窄患者に対して一期的に気管切開術と冠動脈バイパス術を行った麻酔経験
  • ショウレイ ホウコク セイモン カ キョウサク カンジャ ニ タイシテ イチゴテキ ニ キカン セッカイジュツ ト カンドウミャク バイパスジュツ オ オコナッタ マスイ ケイケン

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Abstract

<p>　A 38-year-old woman was scheduled an on-pump coronary artery bypass grafting (ONCAB) for unstable angina pectoris with 3 coronary artery lesions. After induction of anesthesia, we found that intubation was difficult because of subglottic stenosis. The risk of perioperative respiratory complications was high without a properly maintained airway, and the operation was postponed. An approach that would ensure a properly maintained airway was deemed necessary, and therefore a one-stage ONCAB with superior tracheostomy and partial median lower sternotomy was performed at a later date. The patient recovered without any complication.</p>

Journal

  • Cardiovascular Anesthesia

    Cardiovascular Anesthesia 24 (1), 79-83, 2020-08-01

    Japanese Society of Cardiovascular Anesthesiologists

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