LAUSR

Hemodynamic characteristics during cardiac surgery in a patient with co-existing coarctation of the aorta (CoA) have been rarely reported since intracardiac repair is often performed concomitantly with correction of the coarctation. This report focuses on the management of intraoperative blood pressure during anesthesia in a patient with co-existing CoA by monitoring of upper and lower limb arterial pressure including during cardiopulmonary bypass (CPB). Maintaining adequate perfusion pressure in the upper and lower body during CPB was relatively easy because the pressure gradient became smaller, while control of arterial pressure in the upper body after CPB was difficult.