최소 침습적 관상동맥 우회술의 마취경험 -증례 보고-

Abstract

Minimally invasive direct coronary artery bypass surgery (MIDCAB) is now an accepted technique of myocardial revascularization in selective cases of coronary arterial occlusive disease. A 55-year-old male admitted for frequent anterior chest pain who was heavy alcoholics and smoker. The lesion was nearly total (95%) occlusion of proximal left anterior descending artery. We herein report a case of successful MIDCAB with mini-sternotomy approach to left anterior descending artery in which we used propofol for induction and maintenance, additionally, adenosine and esmolol for ischemia management and providing a slower rate and hence a "quieter" field for the surgeon to work. (Korean J Anesthesiol 1998; 35: 1210∼1215) Keyword : Surgery : minimally invasive direct coronary artery bypass surgery. Anesthetics, intra-venous : propofol.