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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)
Aneurisma cerebral y coartación de aorta: consideraciones terapéuticas
Visitas
2473
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
Este artículo ha recibido
Información del artículo
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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