Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jun 2002
Case Reports[ARDS as an unusual presentation of bronchiolitis obliterans organizing pneumonia].
We report the case of a 46-year-old patient with liver transplantation who developed an acute respiratory distress syndrome (ARDS). The commonly associated clinical disorders, those associated with direct injury to the lung and those that cause indirect lung injury in the setting of a systemic process, were not responsible for the clinical picture. Finally, because of progressive clinical deterioration, an open-lung biopsy was performed and revealed a bronchiolitis obliterans with organizing pneumonia (BOOP). Physicians should be aware of this rare aetiology of ARDS.
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Ann Fr Anesth Reanim · Jun 2002
[Anesthesia for cesarean section in a patient with McArdle disease and hereditary dilated cardiomyopathy].
A caesarean section was indicated in a 29-year-old parturient affected by a muscular deficit in myophosphorylase responsible for a type V glycogen storage disease (McArdle disease). This metabolic myopathy had been diagnosed two years previously, whereas the patient already suffered from a hereditary form of dilated cardiomyopathy. ⋯ The cardiopathy was little symptomatic but the dysfunction of the left ventricle worsened during the pregnancy with an ejection fraction calculated to 43%. In this case, we report the realization of a general anaesthesia in a patient who had epidural anaesthesia for a previous caesarean section.
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Ann Fr Anesth Reanim · Jun 2002
Letter Case Reports[Hyperosmolar coma and cerebral thrombophlebitis].