2024/12/03 更新

写真a

オバタ　マサノブ
小畑　正伸
OBATA MASANOBU
所属
武蔵小杉病院 麻酔科 助教
職名
助教
外部リンク

論文

  • Intraoperative cardiac arrest caused by unexpected vasospastic angina requiring prolonged resuscitation using extracorporeal membrane oxygenation: a case report. 国際誌

    Shinji Sugita, Masanobu Obata, Fumihiko Hasunuma, Atsuhiro Sakamoto

    JA clinical reports   9 ( 1 )   77 - 77   2023年11月

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    記述言語：英語   掲載種別：研究論文（学術雑誌）  

    BACKGROUND: Vasospastic angina (VSA) occurring during surgery is rare but can lead to sudden intraoperative cardiac arrest. CASE PRESENTATION: A 77-year-old man with hypertension, and no history of coronary artery disease, displayed an abrupt ST-segment elevation on the electrocardiogram (ECG) during laparoscopic inguinal hernia surgery under general anesthesia. Subsequently, ventricular fibrillation (VF) occurred, with a finding suggesting ischemic myocardial contracture by transesophageal echocardiography. VF was refractory to cardiopulmonary resuscitation (CPR), and veno-arterial extracorporeal membrane oxygenation (VA ECMO) was introduced. Spontaneous circulation resumed 77 min post-cardiac arrest. VSA was confirmed through the patient's clinical course and coronary angiography. Subsequently, VA ECMO was terminated, and the patient was discharged uneventfully. CONCLUSIONS: Extracorporeal CPR may be a valuable alternative to extended resuscitation for refractory ventricular arrhythmias by VSA.

    DOI： 10.1186/s40981-023-00667-z

    PubMed

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