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British Journal of Anaesthesia 2005 94(5):688-689; doi:10.1093/bja/aei544
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2005. All rights reserved. For Permissions, please e-mail: journal.permissions@oupjournals.org

CORRESPONDENCE

Anaesthetic management of high-risk cardiac patients undergoing thoracic surgery with the support of intra-aortic balloon pump

The first 10% of the full text of this article appears below.

Editor—We read with interest the case report by Marcucci and colleagues1 and the accompanying editorial by Newby and Nimmo2 some months ago. Patients with severe coronary artery disease scheduled for urgent major surgery are a particular challenge for anaesthetists. Those with a severe pattern of coronary artery disease such as a critical main left stem stenosis or severe three-vessel disease have a poor prognosis and coronary artery bypass surgery should be considered as it has been shown to significantly improve prognosis. However, the delay can be undesirable because of the risk of tumour progression or surgery may not be suitable in some patients. We wish to report the perioperative management of two such high risk cardiac patients requiring lobectomy for lung carcinoma.

Case 1, a . . . [Full Text of this Article]

C. L. Chiu, M. Mansor and A. Majid

Kuala Lumpur, Malaysia

* E-mail: donat.spahn@chuv.hospud.ch

C. Marcucci, P. G. Chassot and D. R. Spahn*

Lausanne, Switzerland


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