Anesthesia for the Surgery of Intracranial Aneurysms
O Wenker, H Doerr, H Safi, A Alvarado, M Weiner
Keywords
anesthesia, anesthesiology, critical care medicine, education, electronic publication, intensive care medicine, internet, multimedia, online, peer-review, regional anesthesia, trauma
Citation
O Wenker, H Doerr, H Safi, A Alvarado, M Weiner. Anesthesia for the Surgery of Intracranial Aneurysms. The Internet Journal of Anesthesiology. 2006 Volume 14 Number 2.
Abstract
Results - Radiology Findings
Figure 1
Chest X-ray: Cardiomegaly .
Figure 2
CT scan chest ap:Aneurysm of the ascending and transverse aorta. Wide aortic valve area
Figure 3
CT scan chest lateral:Aneurysm of the ascending, transverse and thoracoabdominal aorta. Wide aortic valve area.
Figure 4
CT scan abdomen: Abdominal aortic aneurysm with actual perfused area (white) and clots or false lumen (gray).
Transesophageal Echography Findings
Figure 5
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.
Figure 6
TEE 5 chamber view: Demonstrating the separation between the prosthetic aortic valve and the aortic annulus/sinus valsava.
Figure 7
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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