Korean J Anesthesiol.  2004 Oct;47(4):596-599. 10.4097/kjae.2004.47.4.596.

Intracranial Hemorrhage Following Heart Surgery in the Pediatric Patients: Four cases reports

• Kim YH
• Kim DH
• Oh AY
• Kim KO
• Kim CS

• KMID: 2299302
• DOI: http://doi.org/10.4097/kjae.2004.47.4.596

Abstract

We report four cases of intracranial hemorrhage after cardiac surgery using cardiopulmonary bypass in the pediatric patients. The pre-, intra-, and postoperative data of these 4 patients are presented. The specific factors causing the intracranial hemorrhage remain unexplained, but anticoagulant (heparin) and a tearing of bridging veins after a rapid change of the brain volume by administration of mannitol can be a cause of intracranial hemorrhage. Intracranial hemorrhagic brain injury after cardiac surgery is rare but devastating. however, we consider early diagnosis and proper treatment to be effective because organic brain damage did not occur.

Keyword

cardiac surgery; complications; intracranial hemorrahge

MeSH Terms

Brain
Brain Injuries
Cardiopulmonary Bypass
Early Diagnosis
Heart*
Humans
Intracranial Hemorrhages*
Mannitol
Thoracic Surgery*
Veins
Mannitol