title: [Iliac aneurysm rupture during preconditioning with levosimendan for coronary artery bypass graft].
abstract: We present the case of a 77 year-old patient scheduled for coronary artery bypass. During the infusion of levosimendan as preconditioning for surgery, a rupture of right common iliac artery occurred. Surgery was delayed and an urgent aorto-bifemoral bypass was performed. We believe that the rupture of the artery was triggered by an increase in transmural pressure due to the inotropic effects of levosimendan in a dilated diseased vessel. To our knowledge, there are no cases of aneurysm rupture as a complication during levosimendan infusion, but the coincidence of events in time strongly suggests some kind of causal relationship.
authors.affiliation: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Meixoeiro de Vigo, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, España. Electronic address: adrianaroman19@hotmail.com.
authors.forename: A
authors.initials: A
authors.lastname: Román Fernández
authors.affiliation: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Meixoeiro de Vigo, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, España.
authors.forename: A
authors.initials: A
authors.lastname: López Álvarez
authors.affiliation: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Meixoeiro de Vigo, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, España.
authors.forename: M C
authors.initials: MC
authors.lastname: Corujeira Rivera
authors.affiliation: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Meixoeiro de Vigo, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, España.
authors.forename: V
authors.initials: V
authors.lastname: Vilanova Vázquez
authors.affiliation: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Meixoeiro de Vigo, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, España.
authors.forename: A
authors.initials: A
authors.lastname: Carregal Rañó
authors.affiliation: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Meixoeiro de Vigo, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, España.
authors.forename: M Á
authors.initials: MÁ
authors.lastname: Pereira Loureiro
mesh_terms: D000368:Aged; D017542:Aneurysm, Ruptured / Q000209:etiology*; D050197:Atherosclerosis / Q000150:complications / Q000503:physiopathology; D002316:Cardiotonic Agents / Q000009:adverse effects* / Q000627:therapeutic use; D015984:Causality; D001026:Coronary Artery Bypass; D006439:Hemodynamics; D006801:Humans; D006835:Hydrazones / Q000009:adverse effects* / Q000627:therapeutic use; D017543:Iliac Aneurysm / Q000150:complications* / Q000503:physiopathology; D007262:Infusions, Intravenous; D019194:Ischemic Preconditioning / Q000009:adverse effects*; D008297:Male; D011312:Pressure; D011724:Pyridazines / Q000009:adverse effects* / Q000627:therapeutic use; D000077464:Simendan; D014664:Vasodilation / Q000187:drug effects; D014665:Vasodilator Agents / Q000009:adverse effects* / Q000627:therapeutic use
chemical_list: D002316:Cardiotonic Agents; D006835:Hydrazones; D011724:Pyridazines; D014665:Vasodilator Agents; D000077464:Simendan
keywords: Aneurysm rupture; Cardiac surgery; Cirugía cardíaca; Levosimendan; Levosimendán; Precondicionamiento; Preconditioning; Rotura de aneurisma