[Treatment of a female patient with sickle-cell anemia during cardiac surgery with cardiopulmonary bypass]. / Tratamiento de una paciente con drepanocitosis homocigota durante la cirugía cardiaca con circulación extracorpórea.
Rev Esp Anestesiol Reanim
; 58(7): 454-7, 2011.
Article
em Es
| MEDLINE
| ID: mdl-22046869
A 17-year-old girl with drepanocytic (sickle-cell) anemia who was being treated with hydroxyurea and periodic blood transfusions through a Hickman-type catheter was admitted for periodic episodes of fever. Blood cultures were positive for methicillin-sensitive Staphylococcus aureus. Massive right atrial thrombosis with pulmonary embolism and bacterial endocarditis were detected by computed tomography. Surgery with a beating heart and cardiopulmonary bypass was undertaken. Drepanocytic anemia in individuals homozygous for hemoglobin S is a rare condition in Spain but we are beginning to see a few cases, in which management during anesthesia will be more complicated. High-risk surgery can be carried out in these patients without adverse events if the anesthesiologist is guided by a complete blood workup and takes precautions during and after surgery to control hydration, oxygenation, temperature, and the acid-base balance.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Trombose
/
Valva Tricúspide
/
Ponte Cardiopulmonar
/
Trombectomia
/
Endocardite Bacteriana
/
Staphylococcus aureus Resistente à Meticilina
/
Complicações Intraoperatórias
/
Anemia Falciforme
Tipo de estudo:
Etiology_studies
Limite:
Adolescent
/
Female
/
Humans
País/Região como assunto:
Europa
/
Republica dominicana
Idioma:
Es
Revista:
Rev Esp Anestesiol Reanim
Ano de publicação:
2011
Tipo de documento:
Article
País de publicação:
Espanha