Devastating intracardiac and aortic thrombosis: a case report of apparent catastrophic antiphospholipid syndrome during liver transplantation.
Autor: | Gologorsky E; Department of Anesthesiology, University of Miami Miller School of Medicine/Jackson Memorial Hospital, Miami, FL 33136, USA. EGologorsky@med.miami.edu, Andrews DM, Gologorsky A, Sampathi V, Sundararaman L, Govindaswamy R, Raveh Y, Tzakis AG, Pretto EA Jr |
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Jazyk: | angličtina |
Zdroj: | Journal of clinical anesthesia [J Clin Anesth] 2011 Aug; Vol. 23 (5), pp. 398-402. Date of Electronic Publication: 2011 Jul 08. |
DOI: | 10.1016/j.jclinane.2010.07.007 |
Abstrakt: | Fewer than 80 cases of intracardiac thrombosis and intraoperative pulmonary thromboembolism during liver transplantation have been described. We present a patient who suffered an intraoperative fulminant intracardiac and aortic thrombosis and posthumously was found to have had high anticardiolipin immunoglobulin M concentration and markers of hyperfibrinolysis in preoperatively collected plasma. Hemostatic therapy in the presence of circulating antiphospholipid antibodies and the pathogenesis of a catastrophic antiphospholipid syndrome are discussed. (Copyright © 2011 Elsevier Inc. All rights reserved.) |
Databáze: | MEDLINE |
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