Matsumoto N, Imamura M, Nonaka A, Kashimoto S, Kumazawa T
Department of Anesthesiology, Yamanashi Medical University.
Masui. 1995 Nov;44(11):1547-9.
We have experienced anesthetic management for cardiac rhabdomyoma in a 21-day-old male, whose pulmonary trunk was obstructed by the tumor. He was anesthetized with fentanyl 70 micrograms.kg-1 and oxygen. The operative and post-operative courses were uneventful. Cardiac tumor, especially cardiac rhabdomyoma, in infant is rare. Anesthesia for the resection of the cardiac tumor must be carried out carefully, because sudden death due to arrhythmias as well as cardiac or respiratory failure is the most dangerous complication.
我们对一名21天大的男性心脏横纹肌瘤患者进行了麻醉管理，其肺动脉主干被肿瘤阻塞。患者接受了70微克/千克的芬太尼和氧气麻醉。手术及术后过程均顺利。婴儿期的心脏肿瘤，尤其是心脏横纹肌瘤较为罕见。心脏肿瘤切除术的麻醉必须谨慎进行，因为心律失常以及心脏或呼吸衰竭导致的猝死是最危险的并发症。
