[Perioperative treatment of a pregnant woman with recent cerebral infarction secondary to noncompaction cardiomyopathy]. / Tratamiento perioperatorio de una gestante con infarto cerebral reciente secundario a miocardiopatía no compactada.
Rev Esp Anestesiol Reanim
; 53(10): 661-4, 2006 Dec.
Article
em Es
| MEDLINE
| ID: mdl-17302082
ABSTRACT
Recent-onset noncompaction of the myocardium is a rare but serious entity with uncertain prognosis. Cerebral infarction is among the forms of presentation, and pregnancy and hypercoagulability increase risk. We report the case of a pregnant woman brought to the emergency department with ischemic cerebral infarction. Investigation demonstrated the cause to be cardiac embolism, and noncompaction of the myocardium was diagnosed. She was stabilized and a few days later underwent elective cesarean section under general anesthesia. Surgery and postoperative recovery were uneventful, and she was transferred for rehabilitation. Myocardial injury and progression to cerebrovascular accident must be prevented in such cases; the patient must be stabilized and antiplatelet and/or anticoagulant therapy initiated before surgery. Hemodynamic stability must be maintained throughout the perioperative period and neonatal depression avoided after delivery. Various approaches are available to be adapted to the patient's situation.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Cardiovasculares na Gravidez
/
Complicações Hematológicas na Gravidez
/
Isquemia Encefálica
/
Cesárea
/
Infarto da Artéria Cerebral Média
/
Embolia Intracraniana
/
Ventrículos do Coração
/
Anestesia Geral
/
Anestesia Obstétrica
/
Cardiomiopatias
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
Limite:
Female
/
Humans
/
Newborn
/
Pregnancy
Idioma:
Es
Revista:
Rev Esp Anestesiol Reanim
Ano de publicação:
2006
Tipo de documento:
Article