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Hypothermic Circulatory Arrest for Management of Giant Aneurysm of Basilar Artery in Coronary Artery Disease -A case report-

Other Title
관상동맥 협착증환자에서 초저체온 순환정지를 이용한 거대 기저동맥류 수술시 마취경험
Authors
정, 성미; 한, 정선; 이, 영석; 조, 경기; 노, 환규; 이, 철주
Citation
Taehan Mach'ikwa Hakhoe chi, 34(6):1268-1272, 1998
Journal Title
Taehan Mach'ikwa Hakhoe chi; The Journal of the Korean Society of Anesthesiologists; 대한마취과학회지
ISSN
0302-5780
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.
Keywords
AnesthesianeurosurgeryAnesthetic techniquescirculatory arrestBraincerebral aneurysmprotection
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Journal Papers > School of Medicine / Graduate School of Medicine > Anesthesiology & Pain Medicine
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