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Korean J Anesthesiol > Volume 13(1); 1980 > Article
Korean Journal of Anesthesiology 1980;13(1):15-20.
DOI: https://doi.org/10.4097/kjae.1980.13.1.15   
Anesthetic Management of Reconstructive Surgery for the Traumatic Thoracic Aortic Aneurysm.
Seong Deok Kim, Bong Duck Kim, Seung Keun Yoo, Kwang Woo Kim, II Yong Kwak
Department of Anesthesiology, College of Medicine, Seoul National University, Seoul, Korea.
The management of patient undergoing thoracic aortic surgical procedures represents a major challenge for the anesthesiologists. Aortic cross-clamping and unclamping are particularly hszardous during the- course of the thoracic aortic operation. Proximal hypertension, myocardial ischemia and arrhythmia have been reported to occur after application of the aortic cross-clampmg. Removal of the cross-clamp often results in severe hypotension with subsequent myocardial, cerebral and renal ischemia. In this case, the patient was managed successfully using Regitine drip during the cross-clamp and slow release of clamp during unclamp, combined with slight overhydration just before unclamp.
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