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KMID : 1155520100050030231
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Anesthesia and Pain Medicine
2010 Volume.5 No. 3 p.231 ~ p.235
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Continuous nimodipine infusion during mitral valvuloplasty for infective endocarditis after mycotic cerebral aneurysmal clipping -A case report-
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Sung Tae-Yun
Kim Seong-Hyop
Yi Jun-Hee
Kim Hye-Young
Kwon Won-Kyoung
Kim Kyung-Duk
Yoon Tae-Gyoon
Kim Tae-Yop
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Abstract
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We describe a patient with infective endocarditis (IE) complicated by mycotic cerebral aneurysms (MCAs). Transarterial embolization of a larger MCA was attempted but failed. Aneurysmal clipping through craniotomy was followed by mitral valvuloplasty. During mitral valvuloplasty for IE, the low values of cerebral oxygen saturation after aneurysmal clipping were improved by continuous nimodipine infusion. We also review anesthetic management of patients with IE complicated by MCAs.
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KEYWORD
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Infective endocarditis, Mycotic cerebral aneurysm, Cerebral oxygen saturation, Nimodipine
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