Korean J Anesthesiol.  1998 Oct;35(4):767-771. 10.4097/kjae.1998.35.4.767.

Circulatory Arrest, Profound Hypothermia and Barbiturate for Giant Cerebral Aneurysm Surgery Case report

• Kwoun SP
• Min BS
• Bae JH
• Kim ST
• Kang H
• Lim SW

• KMID: 2091288
• DOI: http://doi.org/10.4097/kjae.1998.35.4.767

Abstract

The surgical and anesthetic management for giant cerebral aneurysm is difficult because of their great size or lack of an anatomic neck. Recently, total circulatory arrest, profound hypothermia using cardiopulmonary bypass and the cerebral protection of barbiturate are able to manage the difficult cerebral aneurysm operation due to the ease of the surgical approach and the decreased post operative neurological injury. These techniques were successfully utilized in the patient of the diamerer-3 cm sized giant cerebral aneurysm located at the bifurcation between the right internal carotid artery and the anterior cerebral artery, and the surgical and anesthetic considerations are reviewed.

Keyword

Anesthetic techniques: profound hypothermia; Brain: cerebral protection; Surgery: cerebral giant aneurysm

MeSH Terms

Anterior Cerebral Artery
Cardiopulmonary Bypass
Carotid Artery, Internal
Humans
Hypothermia*
Intracranial Aneurysm*
Neck