Anesthetic management of Stanford type B acute aortic dissection that occurred during transcatheter aortic valve implantation under monitored anesthesia care: A case report
We report a case involving anesthetic management of Stanford type B acute aortic dissection occurred during transcatheter aortic valve implantation (TAVI) under monitored anesthesia care (MAC) in a patient with aortic stenosis (AS). An 87-year-old woman was undergoing TAVI under MAC for severe AS. D...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-11-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844023084864 |
| _version_ | 1797429940187037696 |
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| author | Shusuke Okamoto Takuya Okada Norihiko Obata Yu Yamane Koichiro Masada Masahiko Iseki Masaharu Nagae |
| author_facet | Shusuke Okamoto Takuya Okada Norihiko Obata Yu Yamane Koichiro Masada Masahiko Iseki Masaharu Nagae |
| author_sort | Shusuke Okamoto |
| collection | DOAJ |
| description | We report a case involving anesthetic management of Stanford type B acute aortic dissection occurred during transcatheter aortic valve implantation (TAVI) under monitored anesthesia care (MAC) in a patient with aortic stenosis (AS). An 87-year-old woman was undergoing TAVI under MAC for severe AS. During the surgery, the patient suddenly moved possibly because of pain. This was followed by hemodynamic collapse. She was then transitioned to general anesthesia, and extracorporeal membrane oxygenation (ECMO) was initiated. Transesophageal echocardiography revealed a Stanford type B acute aortic dissection, which was safely managed perioperatively with appropriate interventions. |
| first_indexed | 2024-03-09T09:20:10Z |
| format | Article |
| id | doaj.art-d175e75371fe41dcb9f2fd64dbb3c696 |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-03-09T09:20:10Z |
| publishDate | 2023-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-d175e75371fe41dcb9f2fd64dbb3c6962023-12-02T07:01:42ZengElsevierHeliyon2405-84402023-11-01911e21278Anesthetic management of Stanford type B acute aortic dissection that occurred during transcatheter aortic valve implantation under monitored anesthesia care: A case reportShusuke Okamoto0Takuya Okada1Norihiko Obata2Yu Yamane3Koichiro Masada4Masahiko Iseki5Masaharu Nagae6Department of Anesthesiology and Pain Clinic, Hyogo Prefectural Harima-Himeji General Medical Center, 3-264 Kamiya-cho, Himeji, 670-8560, JapanDivision of Anesthesiology, Department of Surgery Related, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan; Corresponding author. Division of Anesthesiology, Department of Surgery Related, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan.Division of Anesthesiology, Department of Surgery Related, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, JapanDepartment of Anesthesiology and Pain Clinic, Hyogo Prefectural Harima-Himeji General Medical Center, 3-264 Kamiya-cho, Himeji, 670-8560, JapanDepartment of Anesthesiology and Pain Clinic, Hyogo Prefectural Harima-Himeji General Medical Center, 3-264 Kamiya-cho, Himeji, 670-8560, JapanDepartment of Anesthesiology and Pain Clinic, Hyogo Prefectural Harima-Himeji General Medical Center, 3-264 Kamiya-cho, Himeji, 670-8560, JapanDepartment of Anesthesiology and Pain Clinic, Hyogo Prefectural Harima-Himeji General Medical Center, 3-264 Kamiya-cho, Himeji, 670-8560, JapanWe report a case involving anesthetic management of Stanford type B acute aortic dissection occurred during transcatheter aortic valve implantation (TAVI) under monitored anesthesia care (MAC) in a patient with aortic stenosis (AS). An 87-year-old woman was undergoing TAVI under MAC for severe AS. During the surgery, the patient suddenly moved possibly because of pain. This was followed by hemodynamic collapse. She was then transitioned to general anesthesia, and extracorporeal membrane oxygenation (ECMO) was initiated. Transesophageal echocardiography revealed a Stanford type B acute aortic dissection, which was safely managed perioperatively with appropriate interventions.http://www.sciencedirect.com/science/article/pii/S2405844023084864Transcatheter aortic valve implantation under monitored anesthesia careStanford type B acute aortic dissectionAortic stenosisExtracorporeal membrane oxygenationCase report |
| spellingShingle | Shusuke Okamoto Takuya Okada Norihiko Obata Yu Yamane Koichiro Masada Masahiko Iseki Masaharu Nagae Anesthetic management of Stanford type B acute aortic dissection that occurred during transcatheter aortic valve implantation under monitored anesthesia care: A case report Heliyon Transcatheter aortic valve implantation under monitored anesthesia care Stanford type B acute aortic dissection Aortic stenosis Extracorporeal membrane oxygenation Case report |
| title | Anesthetic management of Stanford type B acute aortic dissection that occurred during transcatheter aortic valve implantation under monitored anesthesia care: A case report |
| title_full | Anesthetic management of Stanford type B acute aortic dissection that occurred during transcatheter aortic valve implantation under monitored anesthesia care: A case report |
| title_fullStr | Anesthetic management of Stanford type B acute aortic dissection that occurred during transcatheter aortic valve implantation under monitored anesthesia care: A case report |
| title_full_unstemmed | Anesthetic management of Stanford type B acute aortic dissection that occurred during transcatheter aortic valve implantation under monitored anesthesia care: A case report |
| title_short | Anesthetic management of Stanford type B acute aortic dissection that occurred during transcatheter aortic valve implantation under monitored anesthesia care: A case report |
| title_sort | anesthetic management of stanford type b acute aortic dissection that occurred during transcatheter aortic valve implantation under monitored anesthesia care a case report |
| topic | Transcatheter aortic valve implantation under monitored anesthesia care Stanford type B acute aortic dissection Aortic stenosis Extracorporeal membrane oxygenation Case report |
| url | http://www.sciencedirect.com/science/article/pii/S2405844023084864 |
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