A Case of Abdominal Incisional Hernia Repair with Severe Aortic Valve Stenosis under Intravenous Anesthesia using Ketamine and Local Anesthesia

重症大動脈弁狭窄症を有する腹壁瘢痕ヘルニアの高齢男性に対し，ケタミンを用いた静脈麻酔併用局所麻酔下に修復術を施行した１例

A Case of Abdominal Incisional Hernia Repair with Severe Aortic Valve Stenosis under Intravenous Anesthesia using Ketamine and Local Anesthesia

A 88-year-old man who underwent abdominoperineal resection for rectal cancer 40 years earlier. The patient visited our hospital because of abdominal pain and vomiting. An abdominal CT scan showed an abdominal incisional hernia with a 23×15mm orifice in the midline of lower abdomen. The patient diagnosed with severe aortic valve stenosis on echocardiography. We performed elective surgery under intravenous anesthesia using ketamine and local anesthesia. The patient was discharged on postoperative day 8, and the postoperative course was uneventful. No recurrence has occurred 16 months after the operation. In conclusion, our strategy for patient with severe aortic valve stenosis is safe and effective.

Creators Futatsugi Motonori