Abstract
Few publications address cardiac surgery in the presence of meningioma. Individual complications include transient visual loss from a suprasellar meningioma, hemiparesis after mitral valve replacement with recovery after resection, and non-fatal hemorrhage into a posterior fossa meningioma. The largest report of 16 patients with known meningiomas over 11 years suggested a benign course, with no new neurologic symptoms and no required resection of a meningioma over an average follow-up of 31 months. In 2 cases we report a presumed posterior fossa meningioma led to fatal outcome after cardiac surgery performed on bypass. Possible causes and future considerations are discussed.
Copyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
MeSH terms
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Aged
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Aged, 80 and over
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Brain Edema / etiology
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Brain Infarction / etiology*
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Cardiopulmonary Bypass / adverse effects*
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Coma / etiology
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Coronary Artery Bypass
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Coronary Stenosis / surgery
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Cranial Fossa, Posterior*
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Delayed Emergence from Anesthesia / etiology
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Fatal Outcome
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Female
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Heart Valve Prosthesis Implantation
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Humans
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Hydrocephalus / etiology
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Hydrocephalus / surgery
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Incidental Findings
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Intracranial Hemorrhages / etiology*
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Male
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Meningeal Neoplasms / blood supply
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Meningeal Neoplasms / complications*
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Meningeal Neoplasms / diagnostic imaging
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Meningioma / blood supply
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Meningioma / complications*
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Meningioma / diagnostic imaging
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Postoperative Complications / diagnostic imaging
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Postoperative Complications / etiology*
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Postoperative Complications / surgery
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Radiography
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Ventriculostomy