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Perioperative Management for the Patient with May-Thurner Syndrome: A Case Report
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Soo Kyung Lee, Eun Joo Choi, Kun Il Kim, Young Mi Kim, Hyun Choi, Hyun Soo Moon
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Korean J Crit Care Med. 2008;23(2):115-119.
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DOI: https://doi.org/10.4266/kjccm.2008.23.2.115
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 Abstract
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- May-Thurner syndrome is an anatomic variant in which the left common iliac vein is compressed by the right common iliac artery. The most frequent clinical presentation is deep vein thrombosis of the left lower extremity. We report the perioperative management in a patient with May-Thurner syndrome undergoing an open reduction of a tibia fracture.
The patient developed deep vein thrombosis of the left lower extremity and had an endovascular stent placed approximately 1 year earlier. An important aspect of the perioperative management in a patient with May-Thurner syndrome is to prevent deep vein thrombosis. We monitored the activated clotting time during the intraoperative period.
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Pharmacological Cardioversion with Phenylephrine for Paroxysmal Supraventricular Tachycardia during Lung Resection Surgery: A Case Report
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Hyun Jung Kim, Soo Kyung Lee, Young Mi Kim, Hyun Soo Moon
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Korean J Crit Care Med. 2006;21(1):57-62.
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Abstract
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- Supraventricular arrhythmias during and after thoracotomy for pulmonary resections are well documented, and risk factors of post-pulmonary resection arrhythmias are old age, magnitude of surgery, and coexisting cardiopulmonary disease etc. Among of supraventricular arrhythmias, atrial fibrillation is the most common rhythm disturbance that may be associated with increased morbidity and mortality. We experienced a case of paroxysmal supraventricular tachycardia with severe hypotension which was escalated from atrial fibrillation during pulmonary bilobectomy for tuberculosis in a 44-year old male patient. Instead of usual electrical cardioversion or common antiarrhythmic agents, we selected phenylephrine bolus injection which induced normal sinus rhythm successfully from paroxysmal supraventricular tachycardia of the patient.
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Pulmonary Embolism Detected after Induction of the General Anesthesia: A Case Report
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Sang Ho Choi, Young Mi Kim, Soo Kyung Lee
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Korean J Crit Care Med. 2003;18(1):43-47.
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Abstract
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- Pulmonary embolism is a common medical complication following major orthopedic procedures of the lower extremities and a leading cause of morbidity and mortality.
However, the clinical manifestations of pulmonary embolism are nonspecific and its diagnosis may be difficult. In this case, we detected the pulmonary embolism after induction of the general anesthesia for operation of tibiofibular fracture. The patient has undergone operation for hemoperitoneum 19 days ago. The nonspecific cardiopulmonary symptoms occuring from minor pulmonary embolism should be sought during the preoperative anesthetic evaluation of patients at high risk for pulmonary embolism.
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