Key result
Tailored general anesthesia successfully manages severe aortic stenosis complicated by an intracranial aneurysm.
Why the study?
The coexistence of intracranial aneurysm and severe aortic stenosis with regurgitation is rare and complicates management strategies.
Case Report (n=1)
No
Careful anesthesia management with pre-induction arterial line insertion and standard monitoring allows for successful aneurysm clipping in patients with severe aortic stenosis and regurgitation.
Successful management feasible with tailored monitoring in severe aortic stenosis plus aneurysm; leaves open generalizability and optimal protocols for future study.
Coexistence of both intracranial aneurysm and aortic stenosis is quiet rare but it may complicate management of either disease. Managing it is like tug of war, but a good case manager can find that delicate balance. We recently managed patient with severe aortic stenosis presented with anterior communicating aneurysmal.Case-52year old female with complaints of severe headache and vomiting episodes since 10 days. With known case of hypertension and hypothyroid since 4 years on irregular medications posted for aneurysmal clipping. On pre assessment check-up we found pansystolic murmur on auscultation. On investigations it revealed concentric LVH with severe AS with moderate AR maintaining 60% ejection fraction. Other routine investigation were normal. Case was successfully conducted under general anaesthesia with endotracheal tube intubation with pre induction arterial line insertion. Anaesthesia management was tailored keeping in mind hemodynamic stability throughout procedure. With all standard ASA monitoring.
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Hamand et al. (2023) conducted a case report in Severe aortic stenosis with regurgitation and intracranial aneurysm (n=1). General anaesthesia tailored for hemodynamic stability was evaluated on Successful conduct of surgery and hemodynamic stability. A 52-year-old female with severe aortic stenosis and an intracranial aneurysm was successfully managed under general anesthesia with tailored hemodynamic monitoring and cerebroprotection.
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