[Subarachnoid hemorrhage in a patient with corrected cyanotic congenital cardiopathy].
A 19-year-old man with congenital cyanotic heart disease experienced subarachnoid bleeding from a ruptured cerebral aneurysm. Immediate rebleeding with disordered hemostasis caused by prophylactic anticoagulation treatment was the cause of death. Medical progress in repairing congenital heart disease or attenuating its effects has increased the life expectancy of such patients. Anesthesiologists who are not specialized in this area may find themselves assuming responsibility for these patients during non-cardiac surgery of greater or lesser extension.
Benatar-Haserfaty
J
J
Servicio de Anestesiología, Reanimación y Terapia del Dolor, Hospital Universitario Ramón y Cajal de Madrid. jbenatar@hrc.insalud.es
Fernández-García
R
R
García-Trapero
J
J
Martínez-Rodrigo
A
A
Puig-Flores
J A
JA
D000328:Adult; D017542:Aneurysm, Ruptured / Q000150:complications* / Q000601:surgery; D000925:Anticoagulants / Q000009:adverse effects*; D003490:Cyanosis; D001728:Dicumarol / Q000009:adverse effects*; D004677:Encephalocele / Q000209:etiology; D017809:Fatal Outcome; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000601:surgery; D019586:Intracranial Hypertension / Q000150:complications; D007431:Intraoperative Complications / Q000139:chemically induced*; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D011516:Prothrombin / Q000009:adverse effects / Q000627:therapeutic use; D018633:Pulmonary Atresia / Q000601:surgery*; D012008:Recurrence; D013345:Subarachnoid Hemorrhage / Q000139:chemically induced* / Q000209:etiology / Q000601:surgery; D013923:Thromboembolism / Q000517:prevention & control
D000925:Anticoagulants; D001728:Dicumarol; D011516:Prothrombin