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      "titulo" => "Quiste aracnoideo sacro postraumático"
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          "autoresLista" => "C. Barcia, J. López-Trigo, F. Fontana"
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se describe el caso de una mujer de 25 a&#241;os con aneurismas cerebrales m&#250;ltiples asociados a coartaci&#243;n de la aorta&#46; El establecimiento de una hipotensi&#243;n controlada durante la cirug&#237;a de los aneurismas en este tipo de pacientes puede condicionar una disminuci&#243;n importante de la perfusi&#243;n en el &#225;rea infraductal&#44; con la consiguiente isquemia renal y medular&#46; Se comenta la conducta seguida&#44; especialmente en el quir&#243;fano y se recomienda una adecuada monitorizaci&#243;n hemodin&#225;mica para prevenir las complicaciones&#46;</p>"
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        "titulo" => "Summary"
        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The case of a woman with multiple intracranial aneurysms and coartaction of the aorta is reported&#46; Intraoperative management did not inelude induced arterial hypotension as it carries a high risk of severe hypotensive state which may cause spinal cord and renal ischemia&#46; The management of the patient during the operation is described in detail&#46;</p>"
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        "nota" => "<p class="elsevierStyleNotepara">V&#225;zquez-Barquero&#44; A&#46;&#59; Rabanal&#44; J&#46;M&#46;&#59; Buj&#225;n&#44; F&#46;&#59; Ib&#225;&#241;ez&#44; J&#46;&#59; Austin&#44; O&#46;&#59; Izquierdo&#44; J&#46;M&#46;&#58;Aneurisma cerebral y coartaci&#243;n de aorta&#58; consideraciones terap&#233;uticas&#46; Neurocirug&#237;a 1993&#59; 4&#58; 219&#8211;222&#46;</p>"
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                        "tituloSerie" => "J Thorac Cardiovasc Surg"
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                            0 => "H&#46; Fukuda"
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                      "Revista" => array:6 [
                        "tituloSerie" => "Surg Neurol"
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                      "titulo" => "Cerebral vasospasm following aneurysmal subarachnoid hemorrhage"
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                          "etal" => false
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                            0 => "N&#46;F&#46; Kassel"
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                            2 => "A&#46;R&#46;T&#46; Colohan"
                            3 => "G&#46; Nazor"
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                          "etal" => false
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enero 1992 Aneurisma cerebral y coartación de aorta: consideraciones terapéuticas
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Vol. 4. Núm. 3.
Páginas 219-222 (enero 1992)
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Vol. 4. Núm. 3.
Páginas 219-222 (enero 1992)
DOI: 10.1016/S1130-1473(93)70851-9
Aneurisma cerebral y coartación de aorta: consideraciones terapéuticas
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A. Vázquez-Barquero, J. Ibáñez, O. Austin, J.M. Izquierdo
Servicio de Neurocirugía. Hospital Universitario «Marqués de Valdecilla». Santander
J.M. Rabanal*, F. Buján*
* Sección de Neuroanestesia. Hospital Universitario «Marqués de Valdecilla». Santander
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Resumen

Se describe el caso de una mujer de 25 años con aneurismas cerebrales múltiples asociados a coartación de la aorta. El establecimiento de una hipotensión controlada durante la cirugía de los aneurismas en este tipo de pacientes puede condicionar una disminución importante de la perfusión en el área infraductal, con la consiguiente isquemia renal y medular. Se comenta la conducta seguida, especialmente en el quirófano y se recomienda una adecuada monitorización hemodinámica para prevenir las complicaciones.

Palabras clave:
Coartación de aorta
Aneurisma cerebral
Tratamiento intraoperatorio
Summary

The case of a woman with multiple intracranial aneurysms and coartaction of the aorta is reported. Intraoperative management did not inelude induced arterial hypotension as it carries a high risk of severe hypotensive state which may cause spinal cord and renal ischemia. The management of the patient during the operation is described in detail.

Key words:
Coarctation of aorta
Intracranial aneurysm
Intraoperative management

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