Minimally Invasive Awake Mitral Valve Surgery and Cardiopulmonary Bypass Without General Anesthesia

Ann Thorac Surg. 2019 Apr;107(4):e247-e248. doi: 10.1016/j.athoracsur.2018.07.090. Epub 2018 Oct 3.

Abstract

Herein, we report the case of a 49-year-old man with a potentially fatal allergy to propofol and remifentanil who underwent awake minimally invasive mitral valve surgery with cardiopulmonary bypass using thoracic epidural anesthesia, without the need for endotracheal general anesthesia. The aim was the management of spontaneous respiration during cardiopulmonary bypass surgery in an awake patient.

Publication types

  • Case Reports

MeSH terms

  • Anesthesia, Epidural / methods*
  • Cardiopulmonary Bypass / methods*
  • Drug Hypersensitivity
  • Follow-Up Studies
  • Heart Valve Prosthesis Implantation / methods*
  • Humans
  • Japan
  • Male
  • Middle Aged
  • Minimally Invasive Surgical Procedures / methods*
  • Mitral Valve Insufficiency / diagnostic imaging
  • Mitral Valve Insufficiency / surgery*
  • Propofol / immunology
  • Remifentanil / immunology
  • Risk Assessment
  • Treatment Outcome
  • Wakefulness / physiology*

Substances

  • Remifentanil
  • Propofol