2025, Vol. 8, Issue 3, Part A
Perioperative management of minimally invasive off pump coronary artery bypass grafting in a case of normal pressure hydrocephalus (NPH): A robust challenge to anaesthesiologists
Author(s): Arupratan Maiti
Abstract: Normal Pressure Hydrocephalus (NPH) is a potentially reversible neurodegenerative disease characterized by a triad of dementia, gait and urinary disturbance. Advancements in diagnosis and treatment have helped in improving symptoms in patients. We report a 60-year-old male patient diagnosed with NPH having coronary artery disease, who was treated with off-pump minimally invasive cardiac surgery-coronary artery bypass grafting (MICS-CABG). Intraoperative management of such a case is particularly challenging because raised ICP can cause brain injury and adverse outcome. One lung ventilation (OLV) during MICS further makes the patients more vulnerable to hypoxic injury and fluctuating haemodynamics can further worsen the situation. Our case had done well and was discharged on fifth day of surgery.
DOI: 10.33545/26643766.2025.v8.i3a.582
Pages: 07-11 | Views: 108 | Downloads: 42
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How to cite this article:
Arupratan Maiti. Perioperative management of minimally invasive off pump coronary artery bypass grafting in a case of normal pressure hydrocephalus (NPH): A robust challenge to anaesthesiologists. Int J Med Anesthesiology 2025;8(3):07-11. DOI: 10.33545/26643766.2025.v8.i3a.582
