[Cesarean section in a patient with a congenital deficit of antithrombin III: apropos of a case].
Antithrombin III (AT III) is a physiological inhibitor of coagulation. AT III deficit, whether congenital or acquired, results in a state of hypercoagulability characterized by recurring instances of venous thrombosis in young people. Although AT III levels normally change little during pregnancy, a deficit can be associated to the appearance of recurring thromboembolism and the need to perform cesarean section increases the risk. We report a cesarean section under general anesthesia in a patient with congenital AT III, reviewing the etiology and pathophysiology of this entity as well as its treatment.
Benito
M C
MC
Servicio de Anestesiología y Reanimación, Hospital General Universitario Gregorio Marañón, Madrid.
Sánchez
M L
ML
Alvarez
M V
MV
Sánchez
P
P
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D020152:Antithrombin III Deficiency; D001778:Blood Coagulation Disorders / Q000151:congenital / Q000628:therapy; D002585:Cesarean Section; D005260:Female; D006801:Humans; D017762:Nadroparin / Q000627:therapeutic use; D011247:Pregnancy
D000925:Anticoagulants; D017762:Nadroparin
Cesárea en una paciente con déficit congénito de antitrombina III: a propósito de un case.