만성 폐쇄성 폐질환 환자에서 자발 호흡을 유지한 상태하의 복부 대동맥류 수술 -1예 보고-

Abstract

Chronic pulmonary obstructive disease is known to be a significant risk factor for mortality in patients who underwent operation for abdominal aortic aneurysm. To decrease perioperative respiratory complication in these patients, maintenance of self respiration as possible is one of the better method. A seventy-seven year old male patient complained of abdominal pain and he was diagnosed for 9 cm sized abdominal aortic aneurysm. But he had severe chronic obstructive pulmonary disease which was expected to increase surgical mortality. So we introduced epidural anesthesia with maintenance of self respiration and performed surgical resection and graft replacement of abdominal aorta, and he recovered without any complication.