Masaki E, Takinami M, Kurata Y, Kagaya S, Ahmed A
Department of Anesthesiology, Jikei University School of Medicine, Tokyo, Japan.
J Clin Anesth. 1999 Jun;11(4):342-5. doi: 10.1016/s0952-8180(99)00048-3.
Patients with severely impaired left ventricular function, an uncorrectable coronary artery disease, and a recent myocardial infarction are at high risk of cardiac complications after major noncardiac surgery. We present two patients with extensive three-vessel coronary artery disease who underwent intraperitoneal surgery under the support of intraaortic balloon pump (IABP). In one patient, the IABP was inserted urgently because of the development of chest pain with significant ST depression on arrival in the operating room, and the other patient was managed with prophylactic IABP. There were no intraoperative or postoperative cardiac events in either patient. Thus, IABP should be considered in the perioperative management of patients with severe cardiac diseases.
左心室功能严重受损、患有无法矫正的冠状动脉疾病以及近期发生心肌梗死的患者，在接受非心脏大手术之后发生心脏并发症的风险很高。我们报告了两名患有广泛三支血管冠状动脉疾病的患者，他们在主动脉内球囊反搏（IABP）支持下接受了腹腔内手术。其中一名患者因在进入手术室时出现胸痛并伴有明显ST段压低而紧急插入IABP，另一名患者采用预防性IABP治疗。两名患者均未发生术中或术后心脏事件。因此，对于患有严重心脏疾病的患者，在围手术期管理中应考虑使用IABP。
