Özet PDF Benzer Makaleler

¹DEDA Beyin Omurilik Merkezi Nöroşirürji, Nöroloji Ünitesi, Ankara
²City Hospital Kalp Damar Cerrahisi Ünitesi, Ankara
³Ankara Üniversitesi Tıp Fakültesi Nöroşirürji ve Anesteziyoloji AD, Ankara Giant cerebral aneurysms may be untreatable by conventional neurosurgical techniques. Early attempts to use circulatory assistance and deep hypothermia were abandoned due to hemorrhagic complications. More recently, interest in circulatory support for complex neurosurgical procedures has been renewed. In this study, a patient was operated on for giant anterior communicating artery aneurysm with cardiopulmonary bypass and hypothermia. The protocol included careful preoperative cardiac assessment, perfect intraoperative synergy between neurosurgical and cardiac teams, minimally invasive peripheral vascular Access including femoral vein and arterial cannulations. Mean circulatory support time was 25 min, mean arterial pressure was 40 mmHg and lowest core temperature was 26-28 C, circulatory arrest did not use. The patient covered well and resumed his employment. Cardiopulmonary bypass with hypothermia should keep in mind as a useful technique for approaching otherwise inoperable giant cerebral or complex posterior aneurysms. Anahtar Kelimeler : Cardiopulmonary bypass, giant cerebral aneurysm, hypothermia