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Surgical Repair of Abdominal Aortic Aneurysm under Epidural Anesthesia in Patient with Chronic Obstructive Pulmonary Disease -A case report-  

Park Sung-Yong (Department of Thoracic and Cardiovascular Surgery, Yong Dong Severance Hospital, Yonsei University College of Medicine)
Hong You-Sun (Department of Thoracic and Cardiovascular Surgery, Yong Dong Severance Hospital, Yonsei University College of Medicine)
Lee Gi-Jong (Department of Thoracic and Cardiovascular Surgery, Yong Dong Severance Hospital, Yonsei University College of Medicine)
Yu Song-Hyeon (Department of Thoracic and Cardiovascular Surgery, Yong Dong Severance Hospital, Yonsei University College of Medicine)
Publication Information
Journal of Chest Surgery / v.39, no.10, 2006 , pp. 782-785 More about this Journal
Abstract
Chronic pulmonary obstructive disease is known to be a significant risk factor for mortality in patients who under-went operation for abdominal aortic aneurysm. To decrease perioperative respiratory complication in these patients, maintenance of self respiration as possible is one of the better method. A seventy-seven year old male patient complained of abdominal pain and he was diagnosed for 9 cm sized abdominal aortic aneurysm. But he had severe chronic obstructive pulmonary disease which was expected to increase surgical mortality. So we introduced epidural anesthesia with maintenance of self respiration and performed surgical resection and graft replacement of abdominal aorta, and he recovered without any complication.
Keywords
Aorta surgery; Lung disease, obstructive;
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