RESUMEN
Postoperative bleeding is a concern for all patients undergoing heart surgery, which could be due to surgical causes or coagulation disorder. The patients at risk for coagulopathy include those patients with complex or prolonged procedures, those exposed to preoperative anticoagulants and, to a lesser extent, patients with a preoperatively elevated prothrombin time and activated clotting time. However, intraabdominal bleeding after cardiac surgery is rare (0.3-2%). As the mortality rate of patients exposed to these complications is high (11-59%), timely recognition and prompt management is vital for patient's safety and for avoidance of postoperative complications. Here, we present a case of free intraabdominal hemorrhage as sequelae of pacing wire insertion in open heart surgery and its successful management.
Asunto(s)
Adulto , Procedimientos Quirúrgicos Cardíacos/efectos adversos , Ecocardiografía , Femenino , Implantación de Prótesis de Válvulas Cardíacas , Hemodinámica/fisiología , Humanos , Hipertensión Pulmonar/complicaciones , Enfermedad Iatrogénica , Hígado/patología , Válvula Mitral/cirugía , Insuficiencia de la Válvula Mitral/cirugía , Estenosis de la Válvula Mitral/cirugía , Monitoreo Intraoperatorio , Marcapaso Artificial/efectos adversos , Seguridad del Paciente , Hemorragia Posoperatoria/patología , Hemorragia Posoperatoria/cirugía , Implantación de Prótesis , Cardiopatía Reumática/complicaciones , Insuficiencia de la Válvula Tricúspide/cirugía , Insuficiencia de la Válvula Tricúspide/diagnóstico por imagen , Venas Umbilicales/patologíaRESUMEN
Descreve-se caso, considerado extremamente raro, de trombose da veia umbilical, em gestaçäo de termo, com recém-nascido vivo e saudável. Os autores sugerem a hipótese de que anomalias estruturais nas parede dos vasos, detectadas por exame anatomopatológico, responsabilizem-se pela ocorrência