[Intraoperative fluid therapy in infants with congestive heart failure due to intracranial pial arteriovenous fistula].
| Autor: | Arroyo-Fernández FJ; Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Universitario Puerta del Mar, Cádiz, España. Electronic address: fcoarronimo@icloud.com., Calderón-Seoane E; Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Universitario Puerta del Mar, Cádiz, España., Rodríguez-Peña F; Servicio de Neurocirugía, Hospital Universitario Puerta del Mar, Cádiz, España., Torres-Morera LM; Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Universitario Puerta del Mar, Cádiz, España. |
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| Jazyk: | Spanish; Castilian |
| Zdroj: | Revista espanola de anestesiologia y reanimacion [Rev Esp Anestesiol Reanim] 2016 May; Vol. 63 (5), pp. 301-4. Date of Electronic Publication: 2015 Aug 12. |
| DOI: | 10.1016/j.redar.2015.07.002 |
| Abstrakt: | Pial arteriovenous fistula is a rare intracranial congenital malformation (0.1-1: 100,000). It has a high blood flow between one or more pial arteries and drains into the venous circulation. It is usually diagnosed during the childhood by triggering an intracranial hypertension and/or congestive heart failure due to left-right systemic shunt. It is a rare malformation with a complex pathophysiology. The perioperative anaesthetic management is not well established. We present a 6-month-old infant diagnosed with pial arteriovenous fistula with hypertension and congestive heart failure due to left-right shunt. He required a craniotomy and clipping of vascular malformation. Anaesthetic considerations in patients with this condition are a great challenge. It must be performed by multidisciplinary teams with experience in paediatrics. The maintenance of blood volume during the intraoperative course is very important. Excessive fluid therapy can precipitate a congestive heart failure or intracranial hypertension, and a lower fluid therapy may cause a tissue hypoxia due to the bleeding. (Copyright © 2015 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.) |
| Databáze: | MEDLINE |
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