[Anesthetic Management of Video-assisted Left Upper Lobectomy in a Patient with Ischemic Heart Disease Using an Intraaortic Balloon Pump].

We report the successful anesthetic management of video-assisted left upper lobectomy in a patient with ischemic heart disease using an intra-aortic balloon pump (IABP). An 81-year-old man with severe ischemic heart disease was scheduled for partial lobectomy for suspected lung cancer under general anesthesia. Although he had severe ischemic heart disease, coronary intervention such as percutaneous cardiac intervention or coronary artery bypass grafting was impossible due to severe coronary stenosis. IABP was instituted through the femoral artery before inducing anesthesia. Tracheal intubation was performed with the McGRATH MAC videolaryngoscope to minimize stress. Surgery was performed uneventfully and the patient was transferred to the intensive care unit under sedation. IABP was removed three hours postoperatively. After confirming no ischemic or vital sign changes, he was extubated the next day. No complications resulting from the IABP were observed.