抄録
We report successful anesthetic management of a patient with severe congestive heart failure(CHF). A 77-year-old male underwent total gastrectomy for the gastric cancer. He had been diagnosed of severe CHF like as dilated cardiomyopathy previously. The cardiac ultrasonography showed the enlarged left ventricle(LV) with LV diastolic internal dimension of 62mm and LV ejection fraction of 20%. Dopamine and colforsin daropate hydrochloride were administered to support cardiovascular performance. The cardiac index monitored by HemosonicTM was maintained over 3.0 liters/min/m2. The patient was weaned from the respirator 5 days after surgery and recovered to discharge by about 2 months.
