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Korean J Anesthesiol > Volume 35(6); 1998 > Article
Korean Journal of Anesthesiology 1998;35(6):1210-1215.
DOI: https://doi.org/10.4097/kjae.1998.35.6.1210   
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.
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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