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Titolo:
POSTERIOR-FOSSA SURGERY IN POSTSHUNT ENDOCARDITIS PATIENTS - SOME ANESTHETIC ISSUES
Autore:
GANJOO P; BARONIA AK; KAUSHIK S;
Indirizzi:
SANJAY GANDHI POSTGRAD INST MED SCI,DEPT ANAESTHESIOL & CRIT CARE MED,RAEBARELI RD,POST BOX 375 LUCKNOW 226001 INDIA SANJAY GANDHI POSTGRAD INST MED SCI,DEPT ANAESTHESIOL & CRIT CARE MED,RAEBARELI RD,POST BOX 375 LUCKNOW 226001 INDIA
Titolo Testata:
Journal of neurosurgical anesthesiology
fascicolo: 3, volume: 6, anno: 1994,
pagine: 182 - 185
SICI:
0898-4921(1994)6:3<182:PSIPEP>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Keywords:
ENDOCARDITIS; VENTRICULOATRIAL SHUNT; VENOUS AIR EMBOLISM; POSTERIOR FOSSA SURGERY; INTRAOPERATIVE PULMONARY EMBOLISM;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
12
Recensione:
Indirizzi per estratti:
Citazione:
P. Ganjoo et al., "POSTERIOR-FOSSA SURGERY IN POSTSHUNT ENDOCARDITIS PATIENTS - SOME ANESTHETIC ISSUES", Journal of neurosurgical anesthesiology, 6(3), 1994, pp. 182-185

Abstract

A patient with an intracranial fourth ventricular cyst developed right heart endocarditis from an infected ventriculoatrial shunt inserted previously. Investigation revealed pneumonic involvement of the right lung, moderate tricuspid regurgitation, mild pulmonary artery hypertension, and a large right atrial vegetation. The shunt was removed and treatment of endocarditis started, before undertaking excision of the cyst under general anesthesia. During the operation there was a sudden deterioration in the patient's condition rapidly leading to death. Clinical features suggested intraoperative pulmonary embolism; both venous air embolism and a dislodged atrial vegetation were considered. However, in the absence of specific monitoring equipment and autopsy, the actual cause could not be ascertained. This clinical report highlightsthe anesthetic problems related to posterior fossa surgery in patients with right-sided endocarditis and suggests some possible management strategies.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 12/07/20 alle ore 13:16:56