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BTDMJB. 2016; 12(4): 224-226


Livedoid vasculopaty and anesthetic management in cesarean delivery

Gokcen Basaranoglu, Kadir İdin, Tarik Umutoglu, Asim Esen, Mefkur Bakan, Ziya Salihoglu.

Abstract
Livedoid vasculopathy (LV) is a hyalinizing vascular disease characterized by painful purple macules and papules that subsequently ulcerate. This vasculopathy may be associated with chronic venous insufficiency, deep venous thrombosis, factor V Leiden mutation, protein C deficiency, antiphospholipid syndrome, increased homocysteine levels, abnormalities in fibrinolysis, increased platelet activation and sickle cell disease. Difficult venous access, unreliable measurement of peripheral O2 saturation and increased susceptibility to venous embolic events may be a challenge for anesthetists. There is limited data about anesthetic management of livedoid vasculopathy in the literature. This case report describes successful anesthetic management of two patients with livedoid vasculopathy.

Key words: Anesthesia, spinal, vasculopathy, livedoid, LMWH



Livedoid vaskülopatide anestezi ve düşük molekül ağırlıklı heparin kullanımı

Özet
Livedoid vaskülopati (LV) hyalinizan vasküler hastalık olup ağrılı mor maküller, papüller ve ulserasyonla karekterizedir. Bu vaskülopati kronik venöz yetmezlik, derin ven trombozu, Faktör V Leiden mutasyonu, protein C eksikliği, antifosfolipid sedrom, artmış homosistein seviyeleri, anormal fibrinoliz, artmış platelet aktivasyonu ve orak hücre hastalığı ile ilişkilidir. Venöz girişim güçlüğü, güvenilmez periferal O2 satürasyonu venöz embolik olaylara artmış yatkınlık anestezistin başetmesi gereken olaylardır. Literatürde LV’de anestezi ile ilgili sınırlı bilgi bulunmaktadır. Bu vaka sunumu LV’li 2 hastanın başarılı anestezi yöntemini sunmaktadır.

Anahtar Kelimeler: Anestezi, spinal, vaskülopati, livedoid, LMWH



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