Related Experiment Video

Updated: Jun 4, 2026

Massive Pontine Hemorrhage by Dual Injection of Autologous Blood
06:33

Massive Pontine Hemorrhage by Dual Injection of Autologous Blood

Published on: May 29, 2021

Bloody cerebrospinal fluid during replacement of descending thoracic aorta -A case report-

Yuseon Cheong1, Jiyeon Sim, Incheol Choi

  • 1Department of Anesthesiology and Pain Medicine, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea.

Korean Journal of Anesthesiology
|February 3, 2011
PubMed

Insights

Cerebrospinal fluid (CSF) drainage during aortic surgery can prevent paralysis but may rarely cause complications like hematoma. This case highlights bloody CSF as a potential sign during descending thoracic aorta replacement.

Area of Science:

  • Cardiovascular Surgery
  • Neurosurgery
  • Anesthesiology

Background:

  • Cerebrospinal fluid (CSF) drainage is a common method to prevent spinal cord ischemia during thoracoabdominal aortic surgery.
  • While generally safe, CSF drainage can lead to complications, including intracranial or spinal hematoma.
  • Bloody or bloody-tinged CSF is a potential indicator of such complications.

Purpose of the Study:

  • To report a case of bloody cerebrospinal fluid (CSF) occurring during descending thoracic aorta replacement.
  • To emphasize the importance of recognizing bloody CSF as a potential complication of CSF drainage in aortic surgery.

Main Methods:

  • Case report presentation.
  • Review of clinical presentation and intraoperative findings.

Main Results:

  • Bloody cerebrospinal fluid (CSF) was observed during the replacement of the descending thoracic aorta.
  • The bloody CSF was noted as a potential complication of the CSF drainage procedure.

Conclusions:

  • Bloody CSF during aortic surgery warrants careful evaluation for potential intracranial or spinal hematoma.
  • Vigilance for neurological complications is crucial when utilizing CSF drainage in complex aortic procedures.

Keywords:
Cerebrospinal fluid drainageComplicationThoracoabdominal aortic surgery

More Related Videos

Permanent Cerebral Vessel Occlusion via Double Ligature and Transection08:22

Permanent Cerebral Vessel Occlusion via Double Ligature and Transection

Published on: July 21, 2013

Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock06:30

Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock

Published on: May 19, 2022

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Hemorrhagic Stroke l: Introduction01:17

Hemorrhagic Stroke l: Introduction

A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
Hemorrhagic Stroke ll: Pathophysiology01:29

Hemorrhagic Stroke ll: Pathophysiology

A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...