Osorio-Cervantes L, Bautista-Martínez J, Durán-Ortegón L, Cancino-Torres M, Gamboa-López G

Idioma: Español
Referencias bibliográficas: 39
Paginas: 133-138
Archivo PDF: 290.92 Kb.

RESUMEN

Los aneurismas de la aorta abdominal (AAA) se definen como «la dilatación de más de 50% del diámetro normal de la aorta». Éstos afectan predominantemente a los varones a partir de la séptima década de la vida. La localización más común es en el segmento infrarrenal. Presentamos el primer caso de un AAA realizado en nuestro hospital. Se trata de un paciente masculino de 71 años de edad con diagnóstico de AAA infrarrenal programado en forma electiva para resección del aneurisma y colocación de prótesis de Dacrón bifurcada, llevada a cabo de forma exitosa. El presente caso pretende revisar el manejo anestésico de los AAA basado en la fisiopatología de la enfermedad, teniendo en cuenta los principales cambios hemodinámicos durante el intraoperatorio.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Sarac M et al. Endosvascular repair of ruptured abdominal aortic aneurysm. Vojnosanit Pregl. 2014; 71 (1): 78-82.

2. Riambau V, Guerrero F, Montana X, Gilabert R. Abdominal aortic aneurysm and renovascular disease. Rev Esp Cardiol. 2007; 60: 639-654.

3. Hirsch A, Haskal L, Hertzer N. ACC/AHA 2005 Practice Guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic). Circulation. 2006; 113: 463-654.

4. Lederle F. Ultrasonographic screening for abdominal aortic aneurysms. Ann Intern Med. 2003; 139: 516-522.

5. Valdes F, Sepúlveda N, Kramer A, Mertens R, Bergoeing M, Marine L. Frequency of abdominal aortic aneurysms in adult population with known risk factors. Rev Med Chil. 2003; 131: 741-747.

6. Zankl A, Schumacher H, Krumsdorf U, Katus H, Jahn L, Tiefenbacher C. Pathology, natural history and treatment of abdominal aortic aneurysms. Clin Res Cardiol. 2007; 96: 140-151.

7. Carrillo-Esper R. Aneurisma de aorta abdominal. Rev Invest Med Sur Mex. 2013; 20 (2): 127-129.

8. Carmo M, Colombo L, Bruno A. Alteration of elastin, collagen and their cross-links in abdominal aortic aneurysms. Eur J Vasc Endovasc Surg. 2002; 23: 543-549.

9. Blanchard J, Armenian H, Friesen P. Risk factors for abdominal aortic aneurysm: results of a case-control study. Am J Epidemiol. 2000; 151: 575-583.

10. Brady A, Thompson S, Fowkes F, Greenhalgh R, Powell J. Abdominal aortic aneurysm expansion: Risk factors and time intervals for surveillance. Circulation. 2004; 110: 16-21.

11. Kent K, Zwolak R, Egorova N, Riles T, Manganaro A, Moskowitz A. Analysis of risk factors for abdominal aortic aneurysm in a cohort of more than 3 million individuals. J Vasc Surg. 2010; 52: 539-548.

12. González-Rodríguez J. Aneurisma en la aorta abdominal. Revista de Especialidades Médico-Quirúrgicas. 2011; 16 (3): 169-172.

13. Gutiérrez-Carreño A. Aneurismas de aorta. Rev Mex Angiol. 2005; 33 (4): 114-127.

14. Tang T, Wai-Leng C, Munday I, Gaunt M. Ruptured abdominal aortic aneurysm. Lancet. 2005; 365: 818.

15. Kniemeyer H, Kessler T, Reber P, Ris H, Hakki M, Widmer M. Treatment of ruptured abdominal aortic aneurysm, a permanent challenge or a waste of resources? Prediction of outcome using a multiorgan dysfunction score. Eur J Vasc Endovasc Surg. 2000; 19 (2): 190-196.

16. Rigberg D, McGory M, Zingmond D. Thirty-day mortality statistics underestimate the risk of repair thoracoabdominal aortic aneurysms: a statewide experience. J Vasc Surg. 2006; 43 (2): 217-222 discussion 225.

17. Silverberg D, Glauber V, Riman U, Yakubovirtch D, Reinitg E, Scerck-Yousif B et al. Endovascular Repair of complex aortic aneurysms. IMAJ. 2014; 16: 5-10.

18. Nicoara A, Swaminathan M. Anesthesia for major vascular surgery. In: Longnecker D. Anesthesiology. USA: McGraw-Hill; 2008: pp. 1284-1313.

19. Muñoz F, Rodríguez G, Rodríguez R, Olmedo P et al. Anestesia en cirugía de aorta abdominal y arterias iliacas. In: Vaquero C. Abdominal aorta Surgery and its branches. Valladolid Gráficas Andrés Martín, SL; 2011: pp. 31-48.

20. Alejandro V, Jiménez C, Hernández M, Quintero M, Hernández C, González B. Anestesia para cirugía de aorta abdominal. En: Luna P, Hurtado C, Romero J, editores. El ABC de la anestesia. México: Alfil; 2011: pp. 677-688.

21. Norris E. Anestesia para la cirugía vascular. En: Miller R, Eriksson L, Fleisher L, Wiener-Kronish J, Young W (editores). Anestesia de Miller. USA: Churchill Livingstone; 2010. pp. 1751-1810.

22. Kato R, Foëx P. Myocardial protection by anesthetic agents against ischemia-reperfusion injury: an update for anesthesiologists. Can J Anesth. 2002; 49 (8): 777-791.

23. Ellis J, Roizen M, Mantha S, Schwarze M, McKinsey J, Lubarsky D et al. Anesthesia for vascular surgery. In: Barash P, Cullen B, Stoelting R, Chalan M, Stock M, editors. Clinical anesthesia. USA: Lippincott Williams & Wilkins; 2006: pp. 1940-2018.

24. Wozniak M, LaMuraglia G, Musch G. Anesthesia for open abdominal aortic surgery. International Anesthesiology Clinics. 2005; 43: 61-78.

25. Moll F, Powell J, Fraedrich G, Venzini F, Herclan S, Walthan M. Management of abdominal aortic aneurysms Clinical Practice Guidelines of the European Society for Vascular Surgery. Eur J Vasc Endovasc Surg. 2011; 41: S1-S58.

26. Basar H. The effects of preanesthetic, single-dose dexmedetomidine on induction, hemodynamic, and cardiovascular parameters. J Clin Anesth. 2008; 20: 431-436.

27. Klinger R. Hemodinamyc impact of dexmedetomidine administration in 15,656 nocardiac surgical cases. J Clin Anesth. 2012; 7: 1-9.

28. Biccard B, Goga S, de Beurs J. Dexmedetomidine and cardiac protection for non-cardiac surgery: a meta-analysis of randomized controlled trials. Anaesthesia. 2008; 63: 4-14.

29. Mato M. Dexmedetomidina, un fármaco prometedor. Rev Esp Anestesiol Reanim. 2002; 49: 407-420.

30. Quiroga E, Tran N, Hatsukami T, Starnes B. Hypothermia is associated with increased mortality in patients undergoing repair of ruptured abdominal aortic aneurysm. J Endovasc Ther. 2010; 17: 434-438.

31. Amaudov P, Benbassat M, Gucev G, Lumb P. Complications of vascular surgery. In: Klapan J, Lake C, Murray M, editors. Vascular anesthesia. USA: Philadelphia Churchill Livinstonne; 2004: pp. 305-324.

32. Kamitani K, Yoshida H, Arai R, Ito H, Miyoshi H, Takebe M et al. Examination of acute kidney injury after abdominal aortic aneurysm surgery. Masui. 2011; 60 (6): 686-691.

33. Beye S, Kane O, Tchikagoua T, Ndiaye A, Dieng P, Ciss G et al. Anaesthesia and resuscitation for infrarenal abdominal aortic aneurysm surgery. Mali Med. 2009; 24 (1): 9-13.

34. Knapp J, Bernhard M, Rauch H, Hyhlik-Dürr A, Böckler D, Walther A. Anesthesiologic procedure for elective aortic surgery. Anaesthesist. 2009; 58 (11): 1161-1182.

35. Hersey P, Poullis M. Does the administration of manitol prevent renal failure in open abdominal aortic aneurysm surgery? Interact Cardiovasc Thorac Surg. 2008; 7: 906-909.

36. Turner S, Derham C, Orsi N, Bosoworth M, Bellamy M, Howell S. Randomized clinical trial of the effect methylprednisolone on renal function after major vascular surgery. Br J Surg. 2008; 95 (1): 50-56.

37. Stanic M, Sindjelic R, Neskovic V, Daviddovie L, Lotina S. Renal protection during surgical procedures on the infrarenal aort. Srp Arh Celok Lek. 2002; 130 (5-6): 168-172.

38. Christine A, Michael C, Alan M, Hilary P. Lumbar cerebroespinal fluid drainage for thoracoabdominal aortic surgery: rationale and practical considerations for management. Anesthe Analg. 2010; 111: 46-58.

39. Carmona P, Mateo E, Otero M, Marques J, Pena J, Llagunes J. Protección medular en cirugía abierta y endovascular de las enfermedades de la aorta torácica y abdominal. Rev Esp Anestesiol Reanim. 2011; 58: 110-118.