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• W2170027140 abstract "A 53-year-old, 74-kg male patient was scheduled for elective coronary artery bypass surgery because of multivessel coronary artery stenosis. He had been suffering from stable angina pectoris for approximately 2 weeks before admission. Preoperative coronary angiography revealed 60% obstruction of the left main coronary artery, 60% obstruction of the left anterior descending artery, 90% obstruction of the circumflex artery, and 70% obstruction of the right coronary artery. Left ventricular ejection fraction was 62%. Past medical history was important for hypertension treated with nitrendipine and metoprolol. Preoperative electrocardiogram revealed sinus rhythm with no ischemic changes. He was smoking cigarettes (3 packs/d) up until the time of surgery (75 pack-year history). A preoperative chest radiograph exhibited changes consistent with slight emphysema bilaterally. Preoperative routine laboratory findings revealed no abnormal results (Table 1). Table 1Perioperative Laboratory Results Day AST (IU/L) ALT (IU/L) BUN (mg/dL) Cr (mg/dL) WBC (/mm3) FIO2 (%) PaO2 (mmHg) Preop 28 15 15 0.8 6,700 50 ∗ Values at anesthesia induction. 124 ∗ Values at anesthesia induction. Postop 1 34 22 19 1.0 12,000 6 L/min 82 Postop 2 163 74 28 1.1 9,300 8 L/min 56 Postop 3 246 120 41 1.4 19,300 100 52 Postop 4 4,240 2,740 94 3.6 18,800 100 50 Postop 6 2,370 1,870 180 5.9 16,400 80 122 Postop 7 660 370 320 7.0 14,700 60 116 Postop 8 370 110 268 8.0 15,500 45 132 Postop 14 42 36 64 2.8 10,600 40 167 Postop 20 32 25 22 1.5 7,900 4 L/min 132 Abbreviations: AST, aspartate transaminase; ALT, alanine transaminase; BUN, blood urea nitrogen; Cr, creatinine; WBC, white blood cell; FIO2, fraction of inspired oxygen; PaO2, partial arterial oxygen pressure. (All are the maximum values of measurements obtained during 1 day.) ∗ Values at anesthesia induction. Open table in a new tab Abbreviations: AST, aspartate transaminase; ALT, alanine transaminase; BUN, blood urea nitrogen; Cr, creatinine; WBC, white blood cell; FIO2, fraction of inspired oxygen; PaO2, partial arterial oxygen pressure. (All are the maximum values of measurements obtained during 1 day.)" @default.
• W2170027140 created "2016-06-24" @default.
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• W2170027140 date "2004-06-01" @default.
• W2170027140 modified "2023-10-18" @default.
• W2170027140 title "Case 3—2004" @default.
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• W2170027140 doi "https://doi.org/10.1053/j.jvca.2004.03.020" @default.
• W2170027140 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/15232820" @default.
• W2170027140 hasPublicationYear "2004" @default.
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