Anesthetic management of right atrial mass removal and pulmonary artery thrombectomy in a patient with primary antiphospholipid antibody syndrome

Autor: Rawat SKS, Mehta Yatin, Vats Mayank, Mishra Yugal, Khurana Poonam, Trehan Naresh
Jazyk: angličtina
Rok vydání: 2010
Předmět:
Zdroj: Annals of Cardiac Anaesthesia, Vol 13, Iss 1, Pp 39-43 (2010)
Druh dokumentu: article
ISSN: 0971-9784
0974-5181
Popis: Antiphospholipid antibody syndrome (APLAS) characterises a clinical condition of arterial and venous thrombosis associated with phospholipids directed antibodies. APLAS occurs in 2% of the general population. However, one study demonstrated that 7.1% of hospitalised patients were tested positive for at least one of the three anticardiolipin antibody idiotype. Antiphospholipid antibodies often inhibit phospholipids dependent coagulation in vitro and interfere with laboratory testing of hemostasis. Therefore, the management of anticoagulation during cardiopulmonary bypass can be quite challenging in these patients. Here, we present a case of right atrial mass removal and pulmonary thrombectomy in a patient of APLAS.
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