Continuous nimodipine infusion during mitral valvuloplasty for infective endocarditis after mycotic cerebral aneurysmal clipping: A case report

Sung, Tae Yun; Kim, Seong Hyop; Yi, Junhee; Kim, Hye Young; Kwon, Won Kyoung; Kim, Duk Kyung; Yoon, Tae Gyoon; Kim, Tae Yop

Case Report

Cardiothoracic and Vascular Anesthesia

Anesthesia and Pain Medicine 2010;5(3):231-235.
Published online July 31, 2010.

Continuous nimodipine infusion during mitral valvuloplasty for infective endocarditis after mycotic cerebral aneurysmal clipping: A case report

Tae Yun Sung, Seong Hyop Kim, Junhee Yi, Hye Young Kim, Won Kyoung Kwon, Duk Kyung Kim, Tae Gyoon Yoon, Tae Yop Kim

Department of Anesthesiology and Pain Medicine, Konkuk University School of Medicine, Seoul, Korea. yshkim75@naver.com

Abstract

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.

Key Words: Infective endocarditis, Mycotic cerebral aneurysm, Cerebral oxygen saturation, Nimodipine