Case Report: Emergency awake craniotomy for cerebral abscess in a patient with unrepaired cyanotic congenital heart disease [version 1; referees: 2 approved]
Corinne D’Antico,
André Hofer,
Jens Fassl,
Daniel Tobler,
Daniel Zumofen,
Nicolai Goettel
Affiliations
Corinne D’Antico
Department of Anesthesia, Surgical Intensive Care, Prehospital Emergency Medicine and Pain Therapy, University Hospital Basel, University of Basel, Basel, Switzerland
André Hofer
Department of Anesthesia, Surgical Intensive Care, Prehospital Emergency Medicine and Pain Therapy, University Hospital Basel, University of Basel, Basel, Switzerland
Jens Fassl
Department of Anesthesia, Surgical Intensive Care, Prehospital Emergency Medicine and Pain Therapy, University Hospital Basel, University of Basel, Basel, Switzerland
Daniel Tobler
Department of Cardiology, University Hospital Basel, University of Basel, Basel, Switzerland
Daniel Zumofen
Department of Radiology, Division of Diagnostic and Interventional Neuroradiology, University Hospital Basel, University of Basel, Basel, Switzerland
Nicolai Goettel
Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland
We report the case of a 39-year-old male with complex cyanotic congenital heart disease undergoing emergency craniotomy for a cerebral abscess. Maintenance of intraoperative hemodynamic stability and adequate tissue oxygenation during anesthesia may be challenging in patients with cyanotic congenital heart disease. In this case, we decided to perform the surgery as an awake craniotomy after interdisciplinary consensus. We discuss general aspects of anesthetic management during awake craniotomy and specific concerns in the perioperative care of patients with congenital heart disease.
