Se describe el caso de una mujer de 25 años con aneurismas cerebrales múltiples asociados a coartación de la aorta. El establecimiento de una hipotensión controlada durante la cirugía de los aneurismas en este tipo de pacientes puede condicionar una disminución importante de la perfusión en el área infraductal, con la consiguiente isquemia renal y medular. Se comenta la conducta seguida, especialmente en el quirófano y se recomienda una adecuada monitorización hemodinámica para prevenir las complicaciones.
The case of a woman with multiple intracranial aneurysms and coartaction of the aorta is reported. Intraoperative management did not inelude induced arterial hypotension as it carries a high risk of severe hypotensive state which may cause spinal cord and renal ischemia. The management of the patient during the operation is described in detail.
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