Successful Anesthesia Management in a Patient With Type A Aortic Dissection Complicated by Renal Failure and Suspected Coronavirus Disease.
Identifieur interne : 000262 ( Main/Exploration ); précédent : 000261; suivant : 000263Successful Anesthesia Management in a Patient With Type A Aortic Dissection Complicated by Renal Failure and Suspected Coronavirus Disease.
Auteurs : Hongbo Zheng [République populaire de Chine] ; Qingzhu Deng [République populaire de Chine] ; Xiaohui Chi [République populaire de Chine] ; Mingbing Chen [République populaire de Chine] ; Li Xu [République populaire de Chine] ; Yong G. Peng [États-Unis] ; Li Wan [République populaire de Chine] ; Longchang Fan [République populaire de Chine]Source :
- Seminars in cardiothoracic and vascular anesthesia [ 1940-5596 ] ; 2020.
Abstract
Stanford type A acute aortic dissection (AAD) is a life-threatening illness that presents with chest pain and hemodynamic instability. AAD prompt and accurate evaluation and management are critical for survival as it is a cardiac surgical emergency. The initial treatment of AAD mandates strict blood pressure stabilization with intravenous antihypertensive medications. The progressive nature of the disease will increase the mortality as time elapses between diagnosis and surgical intervention. In addition, the patient's blood pressure control is challenged in the presence of renal failure requiring hemodialysis. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 or named 2019-nCoV) pneumonia was a newly underrecognized illness (COVID-19 [coronavirus disease 2019]). COVID-19 can cause severe acute respiratory distress syndrome, acute kidney injury, heart injury, and liver dysfunction, which would aggravate the progress of aortic dissection. In this article, we report the successful anesthesia management in a pneumonia patient with AAD complicated with renal failure during the COVID-19 epidemic period, who underwent emergency surgery and deep hypothermic circulatory arrest repair.
DOI: 10.1177/1089253220969052
PubMed: 33148132
Affiliations:
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Peng</name><affiliation wicri:level="2"><nlm:affiliation>University of Florida, Gainesville, FL, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Florida, Gainesville, FL</wicri:regionArea><placeName><region type="state">Floride</region></placeName></affiliation></author><author><name sortKey="Wan, Li" sort="Wan, Li" uniqKey="Wan L" first="Li" last="Wan">Li Wan</name><affiliation wicri:level="1"><nlm:affiliation>Tongji Hospital, Huazhong University of Science and Technology, Wuhan, Hubei, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Tongji Hospital, Huazhong University of Science and Technology, Wuhan, Hubei</wicri:regionArea><wicri:noRegion>Hubei</wicri:noRegion></affiliation></author><author><name sortKey="Fan, Longchang" sort="Fan, Longchang" uniqKey="Fan L" first="Longchang" last="Fan">Longchang Fan</name><affiliation wicri:level="1"><nlm:affiliation>Tongji Hospital, Huazhong University of Science and Technology, Wuhan, Hubei, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Tongji Hospital, Huazhong University of Science and Technology, Wuhan, Hubei</wicri:regionArea><wicri:noRegion>Hubei</wicri:noRegion></affiliation></author></analytic><series><title level="j">Seminars in cardiothoracic and vascular anesthesia</title><idno type="eISSN">1940-5596</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Stanford type A acute aortic dissection (AAD) is a life-threatening illness that presents with chest pain and hemodynamic instability. AAD prompt and accurate evaluation and management are critical for survival as it is a cardiac surgical emergency. The initial treatment of AAD mandates strict blood pressure stabilization with intravenous antihypertensive medications. The progressive nature of the disease will increase the mortality as time elapses between diagnosis and surgical intervention. In addition, the patient's blood pressure control is challenged in the presence of renal failure requiring hemodialysis. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 or named 2019-nCoV) pneumonia was a newly underrecognized illness (COVID-19 [coronavirus disease 2019]). COVID-19 can cause severe acute respiratory distress syndrome, acute kidney injury, heart injury, and liver dysfunction, which would aggravate the progress of aortic dissection. In this article, we report the successful anesthesia management in a pneumonia patient with AAD complicated with renal failure during the COVID-19 epidemic period, who underwent emergency surgery and deep hypothermic circulatory arrest repair.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">33148132</PMID><DateRevised><Year>2020</Year><Month>11</Month><Day>05</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1940-5596</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Nov</Month><Day>05</Day></PubDate></JournalIssue><Title>Seminars in cardiothoracic and vascular anesthesia</Title><ISOAbbreviation>Semin Cardiothorac Vasc Anesth</ISOAbbreviation></Journal><ArticleTitle>Successful Anesthesia Management in a Patient With Type A Aortic Dissection Complicated by Renal Failure and Suspected Coronavirus Disease.</ArticleTitle><Pagination><MedlinePgn>1089253220969052</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/1089253220969052</ELocationID><Abstract><AbstractText>Stanford type A acute aortic dissection (AAD) is a life-threatening illness that presents with chest pain and hemodynamic instability. AAD prompt and accurate evaluation and management are critical for survival as it is a cardiac surgical emergency. The initial treatment of AAD mandates strict blood pressure stabilization with intravenous antihypertensive medications. The progressive nature of the disease will increase the mortality as time elapses between diagnosis and surgical intervention. In addition, the patient's blood pressure control is challenged in the presence of renal failure requiring hemodialysis. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 or named 2019-nCoV) pneumonia was a newly underrecognized illness (COVID-19 [coronavirus disease 2019]). COVID-19 can cause severe acute respiratory distress syndrome, acute kidney injury, heart injury, and liver dysfunction, which would aggravate the progress of aortic dissection. In this article, we report the successful anesthesia management in a pneumonia patient with AAD complicated with renal failure during the COVID-19 epidemic period, who underwent emergency surgery and deep hypothermic circulatory arrest repair.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Zheng</LastName><ForeName>Hongbo</ForeName><Initials>H</Initials><Identifier Source="ORCID">https://orcid.org/0000-0003-3836-2472</Identifier><AffiliationInfo><Affiliation>Tongji Hospital, Huazhong University of Science and Technology, Wuhan, Hubei, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Deng</LastName><ForeName>Qingzhu</ForeName><Initials>Q</Initials><AffiliationInfo><Affiliation>Tongji Hospital, Huazhong University of Science and Technology, Wuhan, Hubei, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chi</LastName><ForeName>Xiaohui</ForeName><Initials>X</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-9659-969X</Identifier><AffiliationInfo><Affiliation>Tongji Hospital, Huazhong University of Science and Technology, Wuhan, Hubei, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chen</LastName><ForeName>Mingbing</ForeName><Initials>M</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-7331-7127</Identifier><AffiliationInfo><Affiliation>Tongji Hospital, Huazhong University of Science and Technology, Wuhan, Hubei, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Xu</LastName><ForeName>Li</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Tongji Hospital, Huazhong University of Science and Technology, Wuhan, Hubei, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Peng</LastName><ForeName>Yong G</ForeName><Initials>YG</Initials><AffiliationInfo><Affiliation>University of Florida, Gainesville, FL, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wan</LastName><ForeName>Li</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Tongji Hospital, Huazhong University of Science and Technology, Wuhan, Hubei, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fan</LastName><ForeName>Longchang</ForeName><Initials>L</Initials><Identifier Source="ORCID">https://orcid.org/0000-0001-5682-1682</Identifier><AffiliationInfo><Affiliation>Tongji Hospital, Huazhong University of Science and Technology, Wuhan, Hubei, China.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>11</Month><Day>05</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Semin Cardiothorac Vasc Anesth</MedlineTA><NlmUniqueID>9807630</NlmUniqueID><ISSNLinking>1089-2532</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">anesthesia management</Keyword><Keyword MajorTopicYN="N">cardiac anesthesia</Keyword><Keyword MajorTopicYN="N">hemodialysis</Keyword><Keyword MajorTopicYN="N">renal failure</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>11</Month><Day>5</Day><Hour>5</Hour><Minute>35</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>11</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>11</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33148132</ArticleId><ArticleId IdType="doi">10.1177/1089253220969052</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>République populaire de Chine</li><li>États-Unis</li></country><region><li>Floride</li></region></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Zheng, Hongbo" sort="Zheng, Hongbo" uniqKey="Zheng H" first="Hongbo" last="Zheng">Hongbo Zheng</name></noRegion><name sortKey="Chen, Mingbing" sort="Chen, Mingbing" uniqKey="Chen M" first="Mingbing" last="Chen">Mingbing Chen</name><name sortKey="Chi, Xiaohui" sort="Chi, Xiaohui" uniqKey="Chi X" first="Xiaohui" last="Chi">Xiaohui Chi</name><name sortKey="Deng, Qingzhu" sort="Deng, Qingzhu" uniqKey="Deng Q" first="Qingzhu" last="Deng">Qingzhu Deng</name><name sortKey="Fan, Longchang" sort="Fan, Longchang" uniqKey="Fan L" first="Longchang" last="Fan">Longchang Fan</name><name sortKey="Wan, Li" sort="Wan, Li" uniqKey="Wan L" first="Li" last="Wan">Li Wan</name><name sortKey="Xu, Li" sort="Xu, Li" uniqKey="Xu L" first="Li" last="Xu">Li Xu</name></country><country name="États-Unis"><region name="Floride"><name sortKey="Peng, Yong G" sort="Peng, Yong G" uniqKey="Peng Y" first="Yong G" last="Peng">Yong G. 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