Anesthesia for Aortoeoronary Bypass Surgery .

Bang,  Sou Ouk; Oh,  Hung Kun

doi:1981.14.4.516

Korean J Anesthesiol > Volume 14(4); 1981 > Article

Case Report

Korean Journal of Anesthesiology 1981;14(4):516-523.
DOI: https://doi.org/10.4097/kjae.1981.14.4.516

Anesthesia for Aortoeoronary Bypass Surgery .

Sou Ouk Bang, Hung Kun Oh

Department of Anesthesiology, Yonsei University School of Medicine, Seoul, Korea.

Abstract

Coronary artery disease is an ever-increasing problem to anesthesiologists as more patients with severe coronary artery are being accepted for surgery. Four cases of aortocoronary bypass graft procedure were done at Severance hospital. The procedure itself can result in perioperative myocardial infarction leading to death. Greater understanding of and constant attention to the myocardial oxygen supply and demand may reduce the incidence of perioperative myocardial infarction. Among the four patients, three tolerated the anesthesia and surgery well without gross pre and postoperative complications. However one patient developed hypotension in the recovery room and died 6 hours postoperatively, in spite of an intensive efforts at resuscitation. The problems, complications and precautions for anesthesia are discussed.