Open Heart Surgery with Intracranial Meningioma: Case Report & Literature Review

Mitral valve plasty in a patient with multiple cerebral cavernous malformations: A case report

“…The present case showed no evidence of focal neurological deficits; however, there was a risk of cerebral edema or bleeding during and after CPB. 10 Therefore, we followed the management recommended in previous reports [1][2][3][4][5][6][7][8] :…”

“…The present case showed no evidence of focal neurological deficits; however, there was a risk of cerebral edema or bleeding during and after CPB. 10 Therefore, we followed the management recommended in previous reports 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 : (1) maintain a PaCO 2 of <40 mmHg during surgery; (2) steroids (dexamethasone, 4 mg) should be administered before and after CPB; (3) maintain intraoperative and postoperative mBP at 60–80 mmHg; (4) maintain serum sodium concentrations at 130–140 mmol/L to stabillize serum osmolality; and (5) maintain a central venous pressure of <8–10 mmHg.…”

“…Previous case studies have reported death or long‐term rehabilitation due to neurological complications when brain tumors were not detected before surgery using CPB or when adequate measures were not taken perioperatively. 1 , 2 , 3 , 4 , 5 In contrast, when tumors were detected preoperatively and adequate measures were taken, surgery was completed without complications. 6 , 7 , 8 These findings suggested that intracranial evaluation before surgery using CPB and strict perioperative management are important for patients with brain tumors.…”

“…When CPB is performed in patients with brain tumors, there may be an increased risk of cerebral hemorrhage, infarction, and edema. 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 In the present case report, we performed mitral valve plasty (MVP) in a patient with mitral regurgitation (MR) complicated by multiple cerebral cavernous malformations (CCMs). With strict perioperative management, the patient had good outcomes.…”

Evaluation of Magnetic Resonance Imaging for Microsurgical Efficacy and Relapse of Rolandic Meningioma

“…Surgical resection and postoperative radiotherapy and chemotherapy are the main methods for the treatment of meningioma, but surgical resection can only control the tumor locally. Besides, the progression of the tumor is closely related to the degree and extent of resection [ 3 , 4 ]. According to some explorations, the relapse rate of patients with meningioma after surgical treatment is over 20% [ 5 ].…”