| Deep Hypothermic Circulatory Arrest for Management of Giant Aneurysm of Basilar Artery in Coronary Artery Disease: A case report. |
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Sung Mee Chung, Jeong Seon Han, Young Seok Lee, Kyung Gi Cho, Hwan Kyu Rno, Cheol Joo Lee |
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. |
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| Abstract |
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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. |
| Key Words:
Anesthesia: neurosurgery; Anesthetic techniques: circulatory arrest; Brain: cerebral aneurysm; protection |
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