Abstract
A 74-year-old female with multiple severe stenosis in the aorta due to aortitis syndrome developed congestive heart failure caused by increasing afterload. She received various internal treatments, but her heart failure did not improve, so axillo-femoral bypass was conducted to decrease afterload. During this operation, she was administered vasodilators and catecholamines. Just after the operation, when she was wide awake, left heart failure occurred due to relative volume overload. Furosemide and increasing vasodilators (PGE1, etc) improved the condition. It may be necessary to continue vasodilator therapy and appropriate preload during perioperative periods for patients with increased afterload due to aortitis syndrome.
