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BJA Advance Access originally published online on July 22, 2005
British Journal of Anaesthesia 2005 95(3):358-361; doi:10.1093/bja/aei207
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2005. All rights reserved. For Permissions, please e-mail: journal.permissions@oupjournals.org

CASE REPORT

Splenic rupture and haemoperitoneum in a patient with non-compaction of the left ventricular myocardium

C. L. Errando1,*, J. Tatay1, A. Serrano-Romero2, M. Gudín-Uriel2, M. Revert3 and C. M. Peiró1

1 Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, 2 Servicio de Cardiología and 3 Servicio de Radiodiagnóstico, Consorcio Hospital General Universitario de Valencia, Avenida Tres Cruces s/n, 46014-Valencia, Spain

* Corresponding author. E-mail: c.l.errando{at}carloserrando.com

The anaesthetic and critical care management of blunt abdominal trauma in a patient previously diagnosed with non-compaction of the left ventricular myocardium (a rare autosomal dominant inherited disease) is reported. The management was influenced by the presence of an implanted automated internal defibrillator and treatment with anticoagulants because of the high frequency of severe arrhythmias and systemic embolism. The pathophysiology of ventricular non-compaction is reviewed briefly.


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Comments on a case of left ventricular hypertrabeculation/noncompaction.
Br. J. Anaesth., June 1, 2006; 96(6): 802 - 803.
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