Letter to the Editor - Anaesthetic Management of Clip Ligation of Ruptured Intracranial Aneurysm Associated with Coarctation of Aorta

Two male patients aged 23 years (patient A) and 42 years (patient B) presented with intracranial hemorrhage with Hunt and Hess grade of IV. In the patient A, coarctation of aorta was suspected due to failure to negotiate the catheter across the thoracic aorta and was confirmed by duplex doppler ultrasonography. In patient B, suspicion of coarctation of aorta on echocardiography was confirmed by aortography. Four-vessel cerebral angiography revealed aneurysm at bifurcation of right middle cerebral artery in patient A and direct puncture carotid angiogram demonstrated basilar artery aneurysm in patient B.