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Thorac Cardiovasc Surg 1986; 34(03): 201-203
DOI: 10.1055/s-2007-1020411
Case Report

Acute Obstructive Hydrocephalus: An Unusual Complication after Cardiopulmonary Bypass

J. M. Gonzlez-Santos
Department of Cardiovascular Surgery, Hospital Provincial, Madrid, Spain
,
M. L. Gonzlez-Santos
Department of Cardiovascular Surgery, Hospital Provincial, Madrid, Spain
,
J. L. Vallejo
Department of Cardiovascular Surgery, Hospital Provincial, Madrid, Spain
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Summary

A case of acute obstructive hydrocephalus in a patient undergoing an aortic valve replacement is presented. This condition came about as a result of massive left cerebellar hemisphere infarction, probably due to a calcific embolism from the aortic valve. The cerebrospinal fluid circulation was blocked by compression of the fourth ventricle and the Sylvius aqueduct secondary to ischemic edema. Following external ventricular drainage, the hydrocephalus resolved but a neurological deficit secondary to the cerebellar and brain stem infarction became evident. The diagnostic, prognostic and therapeutic implications of this unusual complication following cardiac surgery are discussed.

Key words

Cardiopulmonary bypass - Cerebellar infarction - Hydrocephalus


Publication History

Received: 21 December 1985

Publication Date:
09 May 2008 (online)

Georg Thieme Verlag Stuttgart New York