Controlled hypotension for cerebral aneurysm surgery in the presence of severe aortic coarctation.
A patient is described with a bicuspid aortic valve and an undiagnosed aortic coarctation, presenting with a subarachnoid haemorrhage. A cerebral aneurysm was clipped under controlled hypotension. In view of the risk of inducing severe hypotension in the distal aorta in this patient, femoral arterial pressure was monitored. A marked reduction in the radial-femoral arterial pressure gradient during controlled hypotension was noted.
Goodie
D B
DB
Brain Dwyer Department of Anaesthetics, St Vincents Hospital, Darlinghurst NSW, Australia.
Rigg
D L
DL
D000328:Adult; D001017:Aortic Coarctation / Q000150:complications*; D001021:Aortic Valve / Q000002:abnormalities*; D001132:Arm / Q000098:blood supply; D001794:Blood Pressure; D005260:Female; D005263:Femoral Artery / Q000503:physiopathology; D006801:Humans; D007023:Hypotension, Controlled; D002532:Intracranial Aneurysm / Q000601:surgery*; D007431:Intraoperative Complications / Q000209:etiology; D016343:Monitoring, Intraoperative