Anesthesia for the Surgery of Intracranial Aneurysms

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O. Wenker


Address:

H. Doerr


Address:

H. Safi


Address:

A. Alvarado


Address:

M. Weiner


Address:

Citation: O. Wenker, H. Doerr, H. Safi, A. Alvarado & M. Weiner : Anesthesia for the Surgery of Intracranial Aneurysms . The Internet Journal of Anesthesiology. 1998 Volume 2 Number 1

Keywords: anesthesiology | anesthesia | intensive care medicine | critical care medicine | trauma | regional anesthesia | education | multimedia | internet | online | electronic publication | peer-review

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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