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Korean J Anesthesiol > Volume 54(1); 2008 > Article
Korean Journal of Anesthesiology 2008;54(1):88-93.
DOI: https://doi.org/10.4097/kjae.2008.54.1.88   
Total Intravenous Anesthesia for Open Heart Surgery in a Patient with a Moyamoya Disease: A case report.
Seok Young Song, Cheol Beom Cho, Jin Yong Chung, Woon Seok Roh, Bong Il Kim, Sub Lee
1Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu, Daegu, Korea. usno@cu.ac.kr
2Department of Cardiothoracic Surgery, School of Medicine, Catholic University of Daegu, Daegu, Korea.
Moyamoya disease (MMD) is a progressive cerebrovascular occlusive disease of the internal carotid arteries and anterior and middle cerebral arteries. Non-neurological surgery in patients with MMD is often complicated by cerebral ischemia or infarction. The goals of perioperative management are to maintain normotension, normocarpnia, normovolemia and normothermia. Here we report a case of a patient with MMD who underwent patch closure of an atrial septal defect and pulmonary valvotomy by use of a normothermic and non-hemodiluted cardiopulmonary bypass. To prevent intraoperative neurological complications we performed total intravenous anesthesia with propofol, made burst suppression in EEG and monitored the jugular bulb oxygen saturation (SjvO2) for cerebral desaturation.
Key Words: anesthesia; cardiac surgery; jugular bulb oxygen saturation; Moyamoya disease; propofol
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