Deep Hypothermic Circulatory Arrest for Management of Giant Aneurysm of Basilar Artery in Coronary Artery Disease: A case report.
10.4097/kjae.1998.34.6.1268
- Author:
Sung Mee CHUNG
1
;
Jeong Seon HAN
;
Young Seok LEE
;
Kyung Gi CHO
;
Hwan Kyu RNO
;
Cheol Joo LEE
Author Information
1. Department of Anesthesiology, Ajou University, School of Medicine, Suwon, Korea.
- Publication Type:Case Report
- Keywords:
Anesthesia: neurosurgery;
Anesthetic techniques: circulatory arrest;
Brain: cerebral aneurysm;
protection
- MeSH:
Aneurysm*;
Basilar Artery*;
Brain Ischemia;
Cardiopulmonary Bypass;
Circulatory Arrest, Deep Hypothermia Induced*;
Coronary Artery Disease*;
Coronary Stenosis;
Coronary Vessels*;
Depression;
Humans;
Hypothermia;
Mortality;
Neck
- From:Korean Journal of Anesthesiology
1998;34(6):1268-1272
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Giant aneurysms present challenging problems with conventional techniques because the lesion is in a difficult area or lacks a definitive aneurysmal neck. For the safety of operation and protection from cerebral ischemia, deep hypothermic circulatory arrest and cerebral protection with barbiturate is considered a useful technique. But deep hypothermia may produce myocardial depression and coagulopathy with high mortality. We report our experience with cardiopulmonary bypass with deep hypothermic circulatory arrest for the management of a patient with giant aneurysm of basilar artery and mild coronary artery stenosis. No significant complications were related to the technique of cardiopulmonary bypass with deep hypothermic circulatory arrest.
