Controlled hypotension for cerebral aneurysm surgery in the presence of severe aortic coarctation.
case_report · Level V
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Abstract
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.
Medical subject headings
- Aortic Coarctation
- Aortic Valve
- Hypotension, Controlled
- Intracranial Aneurysm