Abstract

ALEGRE ANDRADE, Patricia; MAMANI ORTIZ, Yercin  and  HERBAS BERNAL, Rene Igoor. Anesthetic Management in a patient with Essential Thrombocythemia undergoing abdominal total hysterectomy: a clinical case. Rev Cient Cienc Méd [online]. 2018, vol.21, n.1, pp.98-101. ISSN 2077-3323.

Thrombocythemia defined with a platelet count greater than 450 x 103 / μl, very rare pathology with complications of bleeding secondary to the plasma consumption of Von Willenbrand factor multimer (epistaxis, hemoptysis) and perioperative thromboembolic events, both arterial and venous, due to the high number of platelets (syncope, chest pain, erythromelalgia, acrocyanosis, visual changes and deep vein thrombosis), the incidence in untreated patients is 8% per year. Anesthetic management is controversial in this type of rare pathology. In this case, a 43-year-old female patient, from Cochabamba - Bolivia with pathological background of essential thrombocythemia in treatment, also diagnosed with stenosis and mild aortic insufficiency. The anesthetic management of an intervened patient for total abdominal hysterectomy is described because there is no report or anesthetic management in this type of patient in Cochabamba, Bolivia.

Keywords : anesthesia; hysterectomy; thrombocythemia; cardiac.

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