[Subdural hematoma following surgery of an aneurysm of the diverticulum of the ductus arteriosus with partial cardiopulmonary bypass].
The patient was a 72-year-old man, who had an aneurysm of the descending thoracic aorta with left recurrent laryngeal nerve palsy identified by preoperative examination. Thoracotomy revealed an aneurysm of a diverticulum of the ductus arteriosus measuring 2.7 X 3.4 cm. The aneurysm was excised under partial cardiopulmonary bypass and the defect of the aortic wall was repaired with a Dacron patch. Two days after surgery, he developed mild deterioration of consciousness and right hemiparesis. An acute subdural hematoma which covered the left frontal, parietal, and temporal lobes was found by CT examination. Craniotomy was performed 16 days after the previous surgery, and 100 g of hematoma was removed. Following craniotomy, complete recovery of cerebral function was observed. This appears to be a valuable report of a patient who developed acute subdural hematoma following surgery of aneurysms of the descending thoracic aorta with partial cardiopulmonary bypass.
Irisawa
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Division of Cardiovascular Surgery, Takeda General Hospital, Aizuwakamatsu, Japan.
Souma
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Yokosawa
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Iwamatsu
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T
D000368:Aged; D001013:Aorta, Thoracic; D001014:Aortic Aneurysm / Q000601:surgery*; D002315:Cardiopulmonary Bypass / Q000379:methods; D004240:Diverticulum / Q000601:surgery*; D004373:Ductus Arteriosus; D006408:Hematoma, Subdural / Q000601:surgery*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000601:surgery*