1.
Br J Anaesth
; 92(5): 748-54, 2004 May.
Artículo
en Inglés
| MEDLINE
| ID: mdl-15003982
RESUMEN
Antiphospholipid syndrome is probably the most common acquired hypercoagulable state, but information on perioperative management is sparse. Minor alterations in anticoagulant therapy, infection, or a surgical insult may trigger widespread thrombosis. The perioperative course of a 31-yr-old woman with primary anticardiolipin antiphospholipid antibody syndrome requiring a mitral valve replacement is described. Postoperatively, she developed acute global biventricular failure requiring extracorporeal membrane oxygenation support and plasmapheresis. The management of anticoagulation and cardiac surgery in this condition is reviewed.
Asunto(s)
Síndrome Antifosfolípido/cirugía , Insuficiencia Cardíaca/terapia , Implantación de Prótesis de Válvulas Cardíacas , Insuficiencia de la Válvula Mitral/cirugía , Complicaciones Posoperatorias/terapia , Adulto , Oxigenación por Membrana Extracorpórea , Femenino , Humanos , Atención Perioperativa/métodos , Plasmaféresis
2.
Br J Anaesth
; 89(3): 524; author reply 524, 2002 Sep.
Artículo
en Inglés
| MEDLINE
| ID: mdl-12402738