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CC BY 4.0 · J Neuroanaesth Crit Care 2023; 10(03): 199-201
DOI: 10.1055/s-0043-1770780
Case Report

Giant ICA Cavernous Aneurysm with Coarctation of Aorta and Autoimmune Hemolytic Disease Posted for Flow Diverter Stenting

Yagna M. Gali 
1   Department of Neuroanaesthesia, Apollo Hospitals, Jubilee Hills, Hyderabad, Telangana, India
,
Moparthi R. Bhushanam
1   Department of Neuroanaesthesia, Apollo Hospitals, Jubilee Hills, Hyderabad, Telangana, India
,
Shekhar R. Gurrala
1   Department of Neuroanaesthesia, Apollo Hospitals, Jubilee Hills, Hyderabad, Telangana, India
,
Sanna R. Reddy
2   Department of Neurosurgery, Apollo Hospitals, Jubilee Hills, Hyderabad, Telangana, India
,
Vipul Pathak
2   Department of Neurosurgery, Apollo Hospitals, Jubilee Hills, Hyderabad, Telangana, India
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Abstract

Anesthetic management of a case of intracranial aneurysm with coarctation of the aorta poses a formidable challenge to the anesthesiologist. The perioperative risks associated with such cases are rupture of an aneurysm, cardiac arrhythmias, stroke from cerebral insufficiency, intracerebral hemorrhage, myocardial ischemia, thromboembolic stroke, and aortic dissection. Endovascular stenting is preferred over surgical clipping of an aneurysm as flow diverter stenting has less morbidity and mortality compared to the latter, and the parent vessel can also be preserved. Despite the perioperative risks, successful stenting of an internal carotid artery aneurysm is beneficial in preventing impending aneurysm rupture and the progressive worsening of neurological symptoms. Therefore, it is imperative to understand the physiological basis behind the unforeseen complex hemodynamic fluctuations occurring during the procedure, as well as the anesthetic goals and complications encountered during the procedure. We describe and discuss the successful anesthetic management of a case of a giant internal carotid artery aneurysm with coarctation of the aorta and autoimmune hemolytic disease posted for flow diverter stenting.

Keywords

internal carotid artery aneurysm - coarctation of aorta - flow diverter stenting - case report


Publication History

Article published online:
04 March 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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