Anesth Pain Med.
2010 Jul;5(3):231-235.
Continuous nimodipine infusion during mitral valvuloplasty for infective endocarditis after mycotic cerebral aneurysmal clipping: A case report
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, Konkuk University School of Medicine, Seoul, Korea. yshkim75@naver.com
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.
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