Sophocles Aris, Chen Linda, Lin David, Liu Renyu
Department of Anesthesiology and Critical Care, Perelman School of Medicine at the University of Pennsylvania.
Penn Heart and Vascular Center, Perelman School of Medicine at the University of Pennsylvania.
Transl Perioper Pain Med. 2014 Oct 31;1(2):35-38.
This case report describes the anesthetic management of a 67-year-old who underwent a catheter based pulmonary vein isolation (PVI) of long-standing, persistent atrial fibrillation. When the patient awoke from the 6.5 hour procedure, he was found to have a transient retrograde and anterograde amnesia that persisted for 18-24 hours postoperatively. This is a unique instance of global amnesia following a cardiac ablation procedure under prolonged general anesthesia. This case study highlights important topics in postoperative cognitive deficits including the differential diagnosis, risk factors, and strategies for optimizing patient outcomes in high risk procedures.
本病例报告描述了一名67岁患者接受基于导管的长期持续性心房颤动肺静脉隔离术（PVI）的麻醉管理情况。当患者在长达6.5小时的手术中醒来时，发现他出现了短暂的逆行和顺行性遗忘，术后持续了18至24小时。这是在长时间全身麻醉下进行心脏消融手术后发生全面性遗忘的一个独特案例。本病例研究突出了术后认知功能障碍的重要主题，包括鉴别诊断、危险因素以及在高风险手术中优化患者预后的策略。
