Resumo

ESPINACO VALDES, Javier; MONTERO RODRIGUEZ, Misael; RODRIGUEZ LABANINO, Tonia  e  CISNEROS DIAZ, Adolfo. Thrombophilia as a cause of Perioperative pulmonary embolism. Rev cuba anestesiol reanim [online]. 2009, vol.8, n.2, pp. 0-0. ISSN 1726-6718.

Introduction: Virshow defined the hypercoagulability syndrome as part of causal triad of venous thromboembolism (VTE), and the first identifiable cause of this condition was a antithrombin deficit (AT), Objective: To demonstrate our experience on the behavior of a patient presenting with thrombophilia as cause of Perioperative pulmonary embolism. Material and Methods: Patient programmable for elective abdominal hysterectomy from a severe menometrorrhagia provoking a pulmonary embolism (PE) from the moment of anesthesia induction. Discussion: Studies performed to identify the cause of this complication showed low levels of AT. Presence of an embolic phenomenon associated or not to this diagnosis, increases the recurrence risk. Anticoagulant therapy using a bridge among vitamin K antagonist and heparin is mandatory. Conclusion: Clinical suspicion, an early diagnosis and multidisciplinary participation were key elements to successful management of this patient.

Palavras-chave : Hypercoagulability; antithrombin deficit; pulmonary embolism.

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