Korean J Anesthesiol.  2003 Sep;45(3):410-414. 10.4097/kjae.2003.45.3.410.

A Case of Anesthetic Management in a Patient for Clipping of Intracranial Aneurysm with Complete Left Bundle Branch Block: A Case Report

• Kwon YC
• Shin JM
• Park JS
• Lee YJ

• KMID: 2239931
• DOI: http://doi.org/10.4097/kjae.2003.45.3.410

Abstract

We experienced a case of clipping of an intracranial aneurysm of a 63 year old male with a subarachnoid hemorrhage under general anesthesia. Preoperative electrocardiography showed complete Left Bundle Block (LBBB) without subjective symptoms. Among the intraventricular blocks, bundle branch block is the most common type and in particular, complete LBBB may progress to the more serious condition of complete heart block. Consideration of anesthetic management in such patients requires a knowledge of normal cardiac physiology, neurophysiology, the circulatory effects of various anesthetic agents and the pathophysiology of these diseases, to prevent any hypertension in response to intubation and surgery. We report upon the anesthetic management of a patient for clipping of an intracranial aneurysm with complete LBBB, which was performed successfully without complication.

Keyword

complete left bundle branch block; intracranial aneurysm

MeSH Terms

Anesthesia, General
Anesthetics
Bundle-Branch Block*
Electrocardiography
Heart Block
Humans
Hypertension
Intracranial Aneurysm*
Intubation
Male
Middle Aged
Neurophysiology
Physiology
Subarachnoid Hemorrhage
Anesthetics