In conclusion, anesthesiologists should be aware of the potential for acute development of SVC syndrome, a rare though serious complication after pediatric cardiac surgery.M as a yu k i S h ib as a ki Y a s uf um i Na k aj ima Naoko I nami Fumihiro Shimizu S a to ru B e pp u Yoshifumi T anaka

The repair of abdominal aortic aneurysm (AAA) in the presence of significant coronary artery disease (CAD) carries a high-risk of adverse peri-operative cardiac event. The options to reduce cardiac risk include perioperative beta-blockade, preoperative optimization by myocardial revascularization and simultaneous (combined) coronary artery bypass grafting and aneurysm repair. We describe intra-operative controlled phlebotomy to optimize myocardial stress during repair of infrarenal AAA in a patient with significant stable CAD.

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