2010 年 30 巻 3 号 p. 171-174
The patient was a 51-year-old woman who received CABG at 49 years old, and developed poor left ventricular cardiac function(EF, 26%; %FS, 14% and diffuse hypokinesis) after the surgery. The patient was scheduled to undergo thoracoscopy-guided left upper lobe resection. Prior to anesthetic induction, a Flotrac/Vigilleo SystemTM for an arterial pressure line was placed. After starting differential lung ventilation, hypotension and low cardiac index were confirmed by the system, and dobutamine administration was initiated. After that, systolic pressure fluctuated at around 90mmHg, and surgery was completed without any intraoperative complications.