학술논문
Anesthetic management for patient with severe cyanosis following bioprosthetic valve stenosis
Document Type
article
Source
Revista Brasileira de Anestesiologia. April 2019 69(2)
Subject
Language
English
ISSN
0034-7094
Abstract
We presented a 39-year-old female patient with life-threatening hypoxemia after tricuspid valve replacement because of Ebstein's anomaly. And the severe cyanosis is due to bioprosthetic valve stenosis and atrial septal defect. Anesthetic management of a patient with severe obstructive prosthetic valve dysfunction can be challenging. Similar considerations should be given to patients with Ebstein's anomaly to maintain the pressure equalized between the right and left atrial. Transesophageal echocardiography and cerebral oxygen saturation provided real time information in perioperative care.