| Coma State after Giant Cerebral Artery Aneurysm Clipping Surgery under Circulatory Arrest, Hypothermia and Barbiturate: A case report. |
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Sung Min Han, Young Su Lee, Yoon Kyung Lee, Ji Yeon Sim, Byung Duk Kwun, Byung Hee Lee, Joung Uk Kim |
1Department of Anesthesiology, College of Medicine, University of Ulsan, Seoul, Korea.
2Department of Neurosurgery, College of Medicine, University of Ulsan, Seoul, Korea.
3Department of Anesthesiology, Pundang CHA General Hospital, College of Medicine, University of Pochon CHA, Sungnam, Korea. |
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| Abstract |
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Giant aneurysms and some basilar aneurysms can cause some problems due to their size and clot formation within them.
Recently, profound hypothermia and barbiturate cerebral protection were used for successful surgical treatment of these complex intracranial vascular lesions. We experienced a female patient with a giant anterior aneurysm. After femoral arterial and venous cannulation, cardiopulmonary bypass was performed and the aneurysm was clipped under a state of deep hypothermic circulatory arrest. However, she developed postoperative brain swelling and coma and died due to respiratory failure in ICU. |
| Key Words:
Anesthetic techniques: hypothermia; Anesthetics, intravenous: thiopental; Brain: cerebral protection; Complication: coma; Surgery: cerebral giant aneurysm |
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