• A&A practice · Mar 2021

    Case Reports

    Delayed Obstructive Hydrocephalus After Cardiac Surgery With Cardiopulmonary Bypass in a Patient With Cerebellar Infarction: A Case Report.

    • Shun Hoshino, Koji Kido, Keisuke Maeda, Toshihisa Ichiba, and Makoto Takatori.
    • From the Departments of Anesthesiology and Intensive Care Medicine and.
    • A A Pract. 2021 Mar 30; 15 (4): e01439.

    AbstractObstructive hydrocephalus caused by brainstem compression is a life-threatening complication and usually occurs within 6 days, with peak on day 3 after onset of cerebellar infarction. We present a case of obstructive hydrocephalus that developed on day 8 in a patient with cerebellar infarction. A 39-year-old man with cerebellar infarction caused by myocardial infarction-related intraventricular thrombus underwent left ventricular thrombectomy under cardiopulmonary bypass. He was lucid postoperatively, but his consciousness was diminished on day 8 because of obstructive hydrocephalus. Cerebral edema due to cardiopulmonary bypass may contribute to delayed onset of obstructive hydrocephalus, especially in patients with large-sized cerebellar infarction.Copyright © 2021 International Anesthesia Research Society.

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