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Updated: Jul 18, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
[Severe aortic valve stenosis combined with a large brain tumor; report of a case]
Shinji Akishima1, Yasuhiro Umezu
1Department of Cardiovascular Surgery, Ibarakihigashi National Hospital, Ibaraki, Japan.
Abstract:
We report a case of severe aortic valve stenosis with a large benign brain tumor (meningioma), which was successfully treated with simple replacement with a mechanical valve under extracorporeal circulation (ECC). A large meningioma is considered as a risk in an operation under ECC because it may increase intracranial pressure and cause bleeding. In this case we chose a simple method of aortic valve replacement for the purpose of shortening the ECC time. Under warfarin control, the patient is in a stable condition with good cardiac function and without any neurological symptom at 8 years after the operation.
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