Regional cerebral oxygenation monitoring - intraoperative management in a patient with severe left ventricular dysfunction

Journal Article

2006

Permanent link to this Item
http://hdl.handle.net/11427/24434
Files
Ing_Article_2006.pdf (207.15 KB)
Authors
Ing, Richard J
Fischer, Stephanie
Shipton, Steve
Gray, Rebecca
Thomas, Jenny
Hewitson, John
Journal Title

South African Medical Journal

Link to Journal
http://www.samj.org.za/index.php/samj
Journal ISSN
Volume Title
Publisher
Publisher

University of Cape Town

Department
Department of Anaesthesia
Faculty
Faculty of Health Sciences
License
Series
Abstract
Intraoperative near-infrared spectroscopy cerebral oxygenation monitoring assists intraoperative decision-making in environments without extracorporeal membrane oxygenation (ECMO), left ventricular assist device (LVAD) or access to cardiac transplantation. We report a case of an anomalous left coronary artery arising from the pulmonary artery (ALCAPA), undergoing cardiac surgery. A 4-month-old infant presented in extremis with cardiac failure. We discuss the pathophysiology and challenging intraoperative management of ALCAPA with extensive ischaemia and myocardial infarction.
Description
Keywords
Intraoperative management
Severe left ventricular dysfunction
Case report

Reference:

Ing, R., Fischer, S., Shipton, S., Gray, R., Thomas, J., & Hewitson, J. (2006). Regional cerebral oxygenation monitoring - intraoperative management in a patient with severe left ventricular dysfunction. South African Medical Journal, 96(12), 1266.

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