Skip to main content
Log in

Bilateral subdural hematoma following aortic root and subtotal aortic arch replacement

  • Case Report
  • Published:
General Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript


We report herein a case of subdural hematoma following aortic root and subtotal aortic arch replacement with selective cerebral perfusion in a 78-year-old woman. Her level of consciousness gradually deteriorated on postoperative day (POD) 2. Subdural hematoma, including fresh bleeding in bilateral frontal and parietal regions, was detected on brain computed tomography (CT) on POD 3. No head injury had been sustained previously. As the brain was not under pressure and disturbance of consciousness improved the next day, she was observed conservatively with follow-up brain CT. The subdural hematoma disappeared within about 2 months. The patient recovered completely and was discharged without sequelae.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others


  1. Kasahara S, Sakai A, Isomatsu Y, Akishima S, Zei M, Osawa M. Subdural hematoma complicated after open heart surgery: a case report of two cases with successful treatment. Kyobu Geka 1994;47:732–735 (in Japanese).

    PubMed  CAS  Google Scholar 

  2. Krous HF, Tenckhoff L, Gould NS, Stamm SJ. Subdural hematoma following open-heart operations. Ann Thorac Surg 1975;19:269–276.

    Article  PubMed  CAS  Google Scholar 

  3. Yamauchi T, Takano H, Miyamoto Y, Sawa Y, Matsumiya G, Matsuda H. Subdural hematoma induced by cerebrospinal fluid drainage: potentially catastrophic complication of spinal cord protection after thoracoabdominal aneurysm repair. Jpn J Thorac Cardiovasc Surg 2004;52:466–468.

    Article  PubMed  Google Scholar 

  4. Yokote H, Itakura T, Funahashi K, Kamei I, Hayashi S, Komai N. Chronic subdural hematoma after open heart surgery. Surg Neurol 1985;24:520–524.

    Article  PubMed  CAS  Google Scholar 

  5. Irisawa T, Souma T, Yokosawa T, Iwamatsu T. Subdural hematoma following surgery of an aneurysm of the diverticulum of the ductus arteriosus with partial cardiopulmonary bypass. Jpn J Thorac Surg 1990;38:1517–1520 (in Japanese).

    CAS  Google Scholar 

  6. Yamada T, Sato T, Iemura J, Aoshima M, Suwa H, Ando F. Successful surgical treatment of a subdural hematoma following mitral valve replacement. Kyobu Geka 1992;45:251–253 (in Japanese).

    PubMed  CAS  Google Scholar 

  7. Nakajima M, Tsuchiya K, Kanemori K, Yamazaki H, Koizumi H, Nakano S, et al. Subdural hemorrhagic injury after open heart surgery. Ann Thorac Surg 2003;76:614–615.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to Motoo Osaka.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Osaka, M., Konishi, T. & Koishizawa, T. Bilateral subdural hematoma following aortic root and subtotal aortic arch replacement. Gen Thorac Cardiovasc Surg 57, 33–36 (2009).

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI:

Key words