Operative Treatment of a Giant Cerebral Artery Aneurysm with Hypothermia and Circulatory Arrest

Abstract

A patient with a giant left middle cerebral artery aneurysm is presented. Because of previous operations and dense adhesions of the dominant frontal and temporal lobes to the aneurysm sac, we elected to obliterate the aneurysm by endaneurysmorrhaphy with the patient under hypothermia and cardiac arrest. Elective cardiac arrest has become a relatively safe, controllable procedure and may be of significant value in the treatment of difficult neurosurgical problems.