Rivascolarizzazione miocardica a cuore battente in un novantenne: Gestione anestesiologica

Translated title of the contribution: Multivessel off-pump coronary artery bypass grafting in a nonagenarian: Anesthesiologic management

M. Crivellari, G. Landoni, F. Bellotti, V. Cedrati, A. M. Scandroglio, F. Boroli, C. Gerli, A. Zangrillo

Research output: Contribution to journalArticle

Abstract

A 90-year-old male admitted with history of angina (three-vessel disease) on medical therapy for hypertension and chronic renal failure was scheduled for elective coronary artery bypass grafting (CABG). After standard premedication and monitoring anesthesia was induced with propofol and maintained with isoflurane. Middle dose opioids and atracurium were also given. Multivessel revascularization was done trought median sternotomy and anastomoses were performed with the aid of coronary stabilization and shunting. Cerebral and renal perfusion were maintained with high arterial pressure (140/70 mmHg) and continuous infusion of fenoldopam (0.05 μg kg1 m-1). The perioperative period was uneventful. Elderly patients are at increased risk for mortality and morbidity after CABG. The procedure can be performed safely on elderly patients without using cardiopulmonary bypass and preventing cerebral and renal ipoperfusion.

Translated title of the contributionMultivessel off-pump coronary artery bypass grafting in a nonagenarian: Anesthesiologic management
Original languageItalian
Pages (from-to)1001-1005
Number of pages5
JournalMinerva Anestesiologica
Volume72
Issue number12
Publication statusPublished - 2006

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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