Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지

Surgical Treatment of Intracranial Artery Giant Aneurysm Using Cardiopulmonary Bypass and Deep Hypothermic Circulatory Arrest - Case Report -

체외순환과 초저체온 순환정지술을 이용한 내경동맥의 거대 뇌동맥류 수술 - 증 례 보 고 -

  • Chung, You Nam (Department of Neurosurgery, College of Medicine, Chungbuk National University Hospital) ;
  • Min, Kyung Soo (Department of Neurosurgery, College of Medicine, Chungbuk National University Hospital) ;
  • Lee, Mou Seop (Department of Neurosurgery, College of Medicine, Chungbuk National University Hospital) ;
  • Kim, Dong Ho (Department of Neurosurgery, College of Medicine, Chungbuk National University Hospital) ;
  • Hong, Jong Myeon (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungbuk National University Hospital) ;
  • Kim, Sang Tai (Department of Anesthesiology, College of Medicine, Chungbuk National University Hospital)
  • 정유남 (충북대학교 의과대학 신경외과학교실) ;
  • 민경수 (충북대학교 의과대학 신경외과학교실) ;
  • 이무섭 (충북대학교 의과대학 신경외과학교실) ;
  • 김동호 (충북대학교 의과대학 신경외과학교실) ;
  • 홍종면 (충북대학교 의과대학 흉부외과학교실) ;
  • 김상태 (충북대학교 의과대학 마취과학교실)
  • Received : 1999.07.25
  • Accepted : 2000.09.25
  • Published : 2000.12.28
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Abstract

The authors report a case of a 72-year-old woman who presented with intraventricular and subarachnoid hemorrhage of Hunt and Hess grade IV after the rupture of a giant aneurysm arising from the right internal carotid artery. The aneurysm was clipped successfully with the aid of cardiopulmonary bypass(closed chest method), deep hypothermic circulatory arrest, and cerebral protection with barbiturate resulting in moderate disability. We discuss the usefulness and problems related to technique of circulatory arrest and cardiopulmonary bypass using closed chest method, and suggest the possible benefits of open chest method in elderly people and the importance of preoperative plan to coordinate anesthesia and operation.

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