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Aortic aneurysm in a four‐year‐old child with tuberous sclerosis
Author(s) -
TSUKUI ATSUSHI,
NOGUCHI RYOHKO,
HONDA TADAYUKI,
TOBITA TOSHIYUKI,
FUKUDA SATORU,
SHIMOJI KOKI
Publication year - 1995
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.1995.tb00244.x
Subject(s) - medicine , tuberous sclerosis , isoflurane , hypothermia , anesthesia , aneurysm , spinal cord , aortic aneurysm , blood pressure , surgery , radiology , psychiatry
Summary We present a case of aortic aneurysm in a four‐year‐old child complicated with tuberous sclerosis. We used the same general principles as for adult patients and successfully managed our patient. Our methods included the use of isoflurane plus epidural anaesthesia, dopamine to maintain blood pressure, and induced mild hypothermia to reduce brain metabolism and to prevent spinal cord damage during aortic cross‐clamping. Intensive monitoring including EEG was beneficial to the anaesthetic management.