Anesthesia for the Surgery of Intracranial Aneurysms
Abstract
Results - Radiology Findings
Chest X-ray: Cardiomegaly .
CT scan chest ap:Aneurysm of the ascending and transverse aorta. Wide aortic valve area
CT scan chest lateral:Aneurysm of the ascending, transverse and thoracoabdominal aorta. Wide aortic valve area.
CT scan abdomen: Abdominal aortic aneurysm with actual perfused area (white) and clots or false lumen (gray).
Transesophageal Echography Findings
TEE 5 chamber view: Chamber sizes appear normal. Tricuspid leaflets appear normal. Anterior mitral leaflet is being pulled anteriorly and septaly. There is a pseudoaneurysm present at the sinus of valsava level surrounding a prosthetic aortic valve.
TEE 5 chamber view: Demonstrating the separation between the prosthetic aortic valve and the aortic annulus/sinus valsava.
TEE 4 chamber view: Color doppler flow demonstrates severe excentric mitral regurgitation secondary to changes in anterior mitral leaflet geometry.
Diagnosis
Ascending aortic aneurysm with mitral insufficiency. Aneurysm of the transverse arch and thoracoabdominal aorta.
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