Initiation of Cardiopulmonary Bypass in a High-Risk Patient Under Regional Anesthesia: A Case Report

Coby Tran; Marco Aguirre; Suzanne Dellaria; Alycia Wanat-Hawthorne

doi:10.1213/XAA.0000000000001246

Initiation of Cardiopulmonary Bypass in a High-Risk Patient Under Regional Anesthesia: A Case Report

Coby Tran, Marco Aguirre, Suzanne Dellaria, Alycia Wanat-Hawthorne

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Abstract

A 34-year-old man presented with a large right ventricular (RV) intracardiac mass obstructing RV inflow and outflow as well as a concomitant pericardial effusion displaying physiological signs of tamponade. The patient underwent awake femorofemoral cannulation for cardiopulmonary bypass (CPB) under regional anesthesia with initiation of CPB before induction of general anesthesia. This unconventional approach avoided hemodynamic perturbations in this high-risk patient. Regional anesthesia provided predictable analgesia compared to local infiltration for improved toleration of cannulation.

Original language	English (US)
Pages (from-to)	e01246
Journal	A&A practice
Volume	14
Issue number	8
DOIs	https://doi.org/10.1213/XAA.0000000000001246
State	Published - Jun 1 2020

ASJC Scopus subject areas

General Medicine

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10.1213/XAA.0000000000001246

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Initiation of Cardiopulmonary Bypass in a High-Risk Patient Under Regional Anesthesia: A Case Report

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