Successful Anesthesia Management in a Patient With Type A Aortic Dissection Complicated by Renal Failure and Suspected Coronavirus Disease
Autor: | Li Xu, Xiaohui Chi, Yong G Peng, Longchang Fan, Hongbo Zheng, Mingbing Chen, Li Wan, Qingzhu Deng |
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Rok vydání: | 2020 |
Předmět: |
Adult
medicine.medical_treatment 030204 cardiovascular system & hematology Chest pain 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology medicine Humans Anesthesia Renal Insufficiency Surgical emergency Aortic dissection SARS-CoV-2 business.industry Acute kidney injury COVID-19 medicine.disease Aortic Dissection Pneumonia Anesthesiology and Pain Medicine Blood pressure Deep hypothermic circulatory arrest Female Hemodialysis medicine.symptom Cardiology and Cardiovascular Medicine business |
Zdroj: | Seminars in Cardiothoracic and Vascular Anesthesia. 25:39-45 |
ISSN: | 1940-5596 1089-2532 |
Popis: | Stanford type A acute aortic dissection (AAD) is a life-threatening illness that presents with chest pain and hemodynamic instability. AAD prompt and accurate evaluation and management are critical for survival as it is a cardiac surgical emergency. The initial treatment of AAD mandates strict blood pressure stabilization with intravenous antihypertensive medications. The progressive nature of the disease will increase the mortality as time elapses between diagnosis and surgical intervention. In addition, the patient’s blood pressure control is challenged in the presence of renal failure requiring hemodialysis. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 or named 2019-nCoV) pneumonia was a newly underrecognized illness (COVID-19 [coronavirus disease 2019]). COVID-19 can cause severe acute respiratory distress syndrome, acute kidney injury, heart injury, and liver dysfunction, which would aggravate the progress of aortic dissection. In this article, we report the successful anesthesia management in a pneumonia patient with AAD complicated with renal failure during the COVID-19 epidemic period, who underwent emergency surgery and deep hypothermic circulatory arrest repair. |
Databáze: | OpenAIRE |
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