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Deep hypothermic total circulatory arrest for internal carotid artery aneurysm extending into the cranium: experience

Syed Shahabuddin1, Abid Jabbar, Ijaz Hidayat

  • 1Cardiothoracic Surgery, The Aga Khan University Hospital, Karachi, Pakistan. Syed.shahab@aku.edu

Perfusion
|March 18, 2010
PubMed

Insights

Cardiopulmonary bypass with deep hypothermic circulatory arrest successfully repaired an internal carotid artery aneurysm extending into the cranium. This technique offers a viable option for complex cerebrovascular cases.

Area of Science:

  • Vascular Surgery
  • Neurosurgery
  • Cardiothoracic Surgery

Background:

  • Cardiopulmonary bypass (CPB) is widely used in cardiac surgery and increasingly for complex non-cardiac operations.
  • Carotid artery aneurysms can be treated surgically, with or without CPB.

Observation:

  • A 30-year-old woman presented with an internal carotid artery aneurysm extending intracranially.
  • Surgical repair required advanced perfusion techniques.

Findings:

  • The team successfully repaired the internal carotid artery aneurysm using CPB and deep hypothermic circulatory arrest (DHCA).
  • This approach facilitated the complex repair of a large, intracranial aneurysm.

Implications:

  • Deep hypothermic circulatory arrest on CPB is a feasible strategy for complex carotid artery aneurysms.
  • This case expands the application of CPB in cerebrovascular surgery.

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