Continuous nimodipine infusion during mitral valvuloplasty for infective endocarditis after mycotic cerebral aneurysmal clipping: A case report

Tae-Yun SUNG; Seong-Hyop KIM; Junhee YI; Hye-Young KIM; Won-Kyoung KWON; Duk-Kyung KIM; Tae-Gyoon YOON; Tae-Yop KIM

Tae-Yun SUNG; Seong-Hyop KIM; Junhee YI; Hye-Young KIM; Won-Kyoung KWON; Duk-Kyung KIM; Tae-Gyoon YOON; Tae-Yop KIM.

Anesthesia and Pain Medicine ; : 231-235, 2010.

Article in English | WPRIM | ID: wpr-44609

ABSTRACT

ABSTRACT

We describe a patient with infective endocarditis (IE) complicated by mycotic cerebral aneurysms (MCAs). Transarterial embolization of a larger MCA was attempted but failed. Aneurysmal clipping through craniotomy was followed by mitral valvuloplasty. During mitral valvuloplasty for IE, the low values of cerebral oxygen saturation after aneurysmal clipping were improved by continuous nimodipine infusion. We also review anesthetic management of patients with IE complicated by MCAs.

Subject(s)

Humans; Aneurysm; Craniotomy; Endocarditis; Intracranial Aneurysm; Nimodipine; Oxygen

Infective endocarditis; Mycotic cerebral aneurysm; Cerebral oxygen saturation; Nimodipine

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Oxygen / Nimodipine / Intracranial Aneurysm / Craniotomy / Endocarditis / Aneurysm Limits: Humans Language: English Journal: Anesthesia and Pain Medicine Year: 2010 Type: Article

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