Intraoperative severity assessment of coronary artery stenosis in patients at risk: The role of transesophageal echocardiography

被引：5
|
作者：
Theunissen, T
Coddens, J
Foubert, L
Cammu, G
Degrieck, I
Deloof, T
机构：
[1] Onze Lieve Vrouw Hosp, Dept Anesthesia & Crit Care, B-9300 Aalst, Belgium
[2] Onze Lieve Vrouw Hosp, Dept Thorac & Cardiovasc Surg, B-9300 Aalst, Belgium
来源：
ANESTHESIA AND ANALGESIA | 2006年 / 102卷 / 02期
关键词：
D O I：
10.1213/01.ane.0000189190.93701.0d
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
A 71-yr-old male was scheduled for infrarenal abdominal aortic aneurysm repair. Although he had only minor clinical predictors for increased perioperative cardiovascular risk with > 4 estimated metabolic equivalents for activities, intraoperative transesophageal echocardiography revealed an abnormal maximal-to-prestenotic blood flow velocity ratio in the left main coronary artery. Postoperatively, a severe distal left main coronary artery stenosis was confirmed with coronary angiography. Understanding the flow velocity patterns in the coronary arteries helps the anesthesiologist to detect coronary lesions with transesophageal echocardiography.
引用
收藏
页码：366 / 368
页数：3
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