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Anesthesia progress · Jan 1998
Case ReportsIntraoperative spasm of coronary and peripheral artery--a case occurring after tourniquet deflation during sevoflurane anesthesia.
- K Yoshida, Y Murata, H Takano, M Furuya, and A Ohsawa.
- Department of Anesthesiology, Kanagawa Dental College, Japan.
- Anesth Prog. 1998 Jan 1; 45 (2): 74-6.
AbstractA 68-yr-old man with a 9-yr history of hypertension presented for hemiglossectomy, segmental resection of the mandible, and the radial forearm free flap grafting. Intraoperatively, facial artery spasm was observed during microvascular suturing of the radial artery to the facial artery. Simultaneously, systolic blood pressure decreased from 100 to 80 torr and the ST segment elevated to 15 mm from the base line. The possible mechanisms responsible for vasospasm in coronary as well as in peripheral arteries under sevoflurane anesthesia are discussed.
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