Korean J Anesthesiol.
1998 Jun;34(6):1268-1272. 10.4097/kjae.1998.34.6.1268.
Deep Hypothermic Circulatory Arrest for Management of Giant Aneurysm of Basilar Artery in Coronary Artery Disease: A case report
- Affiliations
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- 1Department of Anesthesiology, Ajou University, School of Medicine, Suwon, Korea.
- 2Department of Neurosurgery, Ajou University, School of Medicine, Suwon, Korea.
- 3Department of Cardiothoracic Surgery, Ajou University, School of Medicine, Suwon, Korea.
- KMID: 2091211
- DOI: http://doi.org/10.4097/kjae.1998.34.6.1268
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.
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