Anesthetic Experience for Minimally Invasive Direct Coronary Artery Bypass Surgery (MIDCAB): A case report. |
Yoon Jeong Choi, Joo Yeung Reee, Jin Mo Kim |
Department of Anesthesiology, School of Medicine, Keimyung University, Taegu, Korea. |
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Abstract |
Minimally invasive direct coronary artery bypass surgery (MIDCAB) is now an accepted technique of myocardial revascularization in selective cases of coronary arterial occlusive disease. A 55-year-old male admitted for frequent anterior chest pain who was heavy alcoholics and smoker. The lesion was nearly total (95%) occlusion of proximal left anterior descending artery. We herein report a case of successful MIDCAB with mini-sternotomy approach to left anterior descending artery in which we used propofol for induction and maintenance, additionally, adenosine and esmolol for ischemia management and providing a slower rate and hence a "quieter" field for the surgeon to work. |
Key Words:
Surgery, minimally invasive direct coronary artery bypass surgery; Anesthetics, intravenous, propofol |
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