Emergency Neurosurgery in a Patient with a Large Thoracic Aortic Aneurysm: Sitting on a Bomb
Thoracic aortic aneurysms larger than 5 cm are associated with a fatal risk of rupture, and their diagnosis is usually followed by urgent surgical repair. Other complications associated with this condition include heart failure, myocardial infarction, and stroke. Literature regarding management of t...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2023-06-01
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| Series: | Journal of Neuroanaesthesiology and Critical Care |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1764296 |
| _version_ | 1797296339540770816 |
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| author | Vyshnavi Lingareddy Sameera Vattipalli Siddharth Chavali Suresh Kanasani Subodh Raju |
| author_facet | Vyshnavi Lingareddy Sameera Vattipalli Siddharth Chavali Suresh Kanasani Subodh Raju |
| author_sort | Vyshnavi Lingareddy |
| collection | DOAJ |
| description | Thoracic aortic aneurysms larger than 5 cm are associated with a fatal risk of rupture, and their diagnosis is usually followed by urgent surgical repair. Other complications associated with this condition include heart failure, myocardial infarction, and stroke. Literature regarding management of these patients for emergency noncardiac surgeries is scarce, with anecdotal reports advising both surgeries in the same sitting. However, neurosurgical procedures present a unique challenge in this situation, since systemic anticoagulation may be associated with a rebleed within the cranial vault. In this case report, we present an extremely rare and challenging scenario, wherein a patient with a 6.2-cm thoracic aortic aneurysm underwent subdural hematoma evacuation prior to aneurysmal repair. |
| first_indexed | 2024-03-07T22:03:13Z |
| format | Article |
| id | doaj.art-626c1ed5ddf7428bbd6779309993017a |
| institution | Directory Open Access Journal |
| issn | 2348-0548 2348-926X |
| language | English |
| last_indexed | 2024-03-07T22:03:13Z |
| publishDate | 2023-06-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Neuroanaesthesiology and Critical Care |
| spelling | doaj.art-626c1ed5ddf7428bbd6779309993017a2024-02-23T23:44:11ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neuroanaesthesiology and Critical Care2348-05482348-926X2023-06-01100212112410.1055/s-0043-1764296Emergency Neurosurgery in a Patient with a Large Thoracic Aortic Aneurysm: Sitting on a BombVyshnavi Lingareddy0Sameera Vattipalli1https://orcid.org/0000-0003-4276-8002Siddharth Chavali2https://orcid.org/0000-0001-9361-0833Suresh Kanasani3Subodh Raju4Institute of Neurosciences, AIG Hospitals, Hyderabad, Telangana, IndiaInstitute of Neurosciences, AIG Hospitals, Hyderabad, Telangana, IndiaInstitute of Neurosciences, AIG Hospitals, Hyderabad, Telangana, IndiaInstitute of Neurosciences, AIG Hospitals, Hyderabad, Telangana, IndiaInstitute of Neurosciences, AIG Hospitals, Hyderabad, Telangana, IndiaThoracic aortic aneurysms larger than 5 cm are associated with a fatal risk of rupture, and their diagnosis is usually followed by urgent surgical repair. Other complications associated with this condition include heart failure, myocardial infarction, and stroke. Literature regarding management of these patients for emergency noncardiac surgeries is scarce, with anecdotal reports advising both surgeries in the same sitting. However, neurosurgical procedures present a unique challenge in this situation, since systemic anticoagulation may be associated with a rebleed within the cranial vault. In this case report, we present an extremely rare and challenging scenario, wherein a patient with a 6.2-cm thoracic aortic aneurysm underwent subdural hematoma evacuation prior to aneurysmal repair.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1764296anesthesiaaortic aneurysmemergency neurosurgerysubdural hematoma |
| spellingShingle | Vyshnavi Lingareddy Sameera Vattipalli Siddharth Chavali Suresh Kanasani Subodh Raju Emergency Neurosurgery in a Patient with a Large Thoracic Aortic Aneurysm: Sitting on a Bomb Journal of Neuroanaesthesiology and Critical Care anesthesia aortic aneurysm emergency neurosurgery subdural hematoma |
| title | Emergency Neurosurgery in a Patient with a Large Thoracic Aortic Aneurysm: Sitting on a Bomb |
| title_full | Emergency Neurosurgery in a Patient with a Large Thoracic Aortic Aneurysm: Sitting on a Bomb |
| title_fullStr | Emergency Neurosurgery in a Patient with a Large Thoracic Aortic Aneurysm: Sitting on a Bomb |
| title_full_unstemmed | Emergency Neurosurgery in a Patient with a Large Thoracic Aortic Aneurysm: Sitting on a Bomb |
| title_short | Emergency Neurosurgery in a Patient with a Large Thoracic Aortic Aneurysm: Sitting on a Bomb |
| title_sort | emergency neurosurgery in a patient with a large thoracic aortic aneurysm sitting on a bomb |
| topic | anesthesia aortic aneurysm emergency neurosurgery subdural hematoma |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1764296 |
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