Anesthetic management of a patient with severe dilated cardiomyopathy and an automatic implantable cardioverter-defibrillator (AICD) during total gastrectomy

Mamoru Takeuchi, Tatsuo Iwasaki, Tomoyo Oue, Naoyuki Taga, Yuichiro Toda, Katsunori Oe, Kiyoshi Morita

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

We report a case of severe dilated cardiomyopathy with an automatic implantable cardioverter-defibrillator (ICD) undergoing total gastrectomy. During the operation, the defibrillation function of the ICD was suspended and its pacing function was used solely in VOO mode. Electrodes of an external defibrillator were attached on the chest wall, and a pulmonary arterial (PA) catheter with a ventricle pacing port was inserted into the pulmonary artery. Proper perioperative management, including measures that the patient underwent the surgery uneventfully and could attain a rapid and successful discharge from the intensive care unit.

Original languageEnglish
Pages (from-to)81-83
Number of pages3
JournalJournal of Anesthesia
Volume19
Issue number1
DOIs
Publication statusPublished - Feb 2005

Keywords

  • Dilated cardiomyopathy
  • Implantable cardioverter-defibrillator
  • Total gastrectomy

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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