Journal article
Emergency Neurosurgery in a Patient with a Large Thoracic Aortic Aneurysm: Sitting on a Bomb
Journal of neuroanaesthesiology and critical care, Vol.10(2), pp.121-124
06/01/2023
DOI: 10.1055/s-0043-1764296
Abstract
Thoracic aortic aneurysms larger than 5 cm are associated with a fatal risk of rupture, and their diagnosis is usually followed by urgent surgical repair. Other complications associated with this condition include heart failure, myocardial infarction, and stroke. Literature regarding management of these patients for emergency noncardiac surgeries is scarce, with anecdotal reports advising both surgeries in the same sitting. However, neurosurgical procedures present a unique challenge in this situation, since systemic anticoagulation may be associated with a rebleed within the cranial vault. In this case report, we present an extremely rare and challenging scenario, wherein a patient with a 6.2-cm thoracic aortic aneurysm underwent subdural hematoma evacuation prior to aneurysmal repair.
Details
- Title: Subtitle
- Emergency Neurosurgery in a Patient with a Large Thoracic Aortic Aneurysm: Sitting on a Bomb
- Creators
- Vyshnavi Lingareddy - Asian Institute of GastroenterologySameera Vattipalli - AIG Hosp, Inst Neurosci, Hyderabad, Telangana, IndiaSiddharth Chavali - Asian Institute of GastroenterologySuresh Kanasani - Asian Institute of GastroenterologySubodh Raju - Asian Institute of Gastroenterology
- Resource Type
- Journal article
- Publication Details
- Journal of neuroanaesthesiology and critical care, Vol.10(2), pp.121-124
- Publisher
- Thieme Medical Publishers
- DOI
- 10.1055/s-0043-1764296
- ISSN
- 2348-0548
- eISSN
- 2348-926X
- Number of pages
- 4
- Language
- English
- Date published
- 06/01/2023
- Academic Unit
- Anesthesia
- Record Identifier
- 9984771656102771
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