João Benedito Barbosa, Bueno Ronaldo Machado, Marques Guilherme D'Addazio, Soares Felippe Batista
Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brazil; Hospital Beneficiência Portuguesa, São Paulo, SP, Brazil; Hospital Euryclides de Jesus Zerbini, São Paulo, SP, Brazil.
Hospital Beneficiência Portuguesa, São Paulo, SP, Brazil; Instituto do Coração do Hospital das Clínicas - Incor (FMUSP), São Paulo, SP, Brazil.
Braz J Anesthesiol. 2017 Jan-Feb;67(1):95-99. doi: 10.1016/j.bjane.2013.03.027. Epub 2015 Mar 18.
The aneurysm in the pulmonary trunk is a rare disease. Because of its location, a rupture can lead to right ventricular failure and sudden death. Aneurysmorraphy is the most widely used surgical treatment in these cases. The aim of this study is to report a successful balanced general anesthesia for aneurysmorraphy of pulmonary trunk.
Male patient, 28 years, asymptomatic, diagnosed with an aneurysm in the pulmonary trunk. According to the location of the aneurysm and the consequent failure of the pulmonary valve, an aneurysmorraphy was indicated, with implantation of vascular-valvular prosthesis (valved tube). We opted for a balanced general anesthesia, seeking to prevent an increase in systemic and pulmonary vascular resistances, thus avoiding to cause stress on the wall of the aneurysmal vessel.
A balanced general anesthesia, in combination with adequate ventilation to prevent elevation in pulmonary vascular pressure, was appropriate for surgical repair of an aneurysm in the pulmonary trunk.
Zotero 插件