Preoperative anemia in patients with cancer is highly prevalent, is associated with increased perioperative morbidity and is a risk factor for transfusion. There is evidence that patients who undergo transfusions have higher morbidity, increased cancer recurrence and poorer survival. The pathophysiology of anemia is multifactorial, with an inflammatory component to which chronic blood loss and nutritional deficiencies can be associated.
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April 2004
The patient was a 26-year-old primipara diagnosed in the first trimester with aortic stenosis and coarctation of the descending aorta. She had remained stable until the 37th week, when she developed dyspnea, edema in the lower extremities, crepitations, oliguria, hypotension, and mild sinus tachycardia consistent with left ventricular insufficiency. A cesarean was performed under general anesthesia with remifentanil, with good outcomes for mother and infant.
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