大動脈弁置換術後乳癌患者の乳房切除術を胸壁ブロック併用全身麻酔で管理した症例

General Anesthesia Management Combined with Thoracic Wall Block for Mastectomy on a Patient with a History of Aortic Valve Replacement

佐藤 浩毅

田口 志麻

原木 俊明

大下 恭子

濱田 宏

河本 昌志

麻酔と蘇生

Ansesthesia and Resuscitation

Thoracic wall block is a useful tool for analgesia in a patient receiving mastectomy. To select an analgesic method with sufficient analgesic effect and little influence on cardiovascular dynamics is important for perioperative management of the patients whose cardiovascular dynamics are desirable to be stable. We experienced a patient who had an increased pressure gradient from the left ventricle to the aortic valve, accompanied by the sigmoid shaped ventricular septum developed after aortic valve replacement. By using pectoral nerve block and transversus thoracic muscle plane block combined with general anesthesia, we managed this patient uneventfully and safely.

胸壁ブロック

PECSブロック

胸横筋膜面ブロッ ク

大動脈弁置換術

S字状心室中隔

thoracic wall block

pectoral nerve block

transversus thoracic muscle plane block

aortic valve replacement

sigmoid shaped ventricular septum

医学 [ 490 ]

日本語

広島麻酔医学会

[ISSN] 0385-1664

[NCID] AN00232251