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BJA Advance Access published online on July 22, 2005
British Journal of Anaesthesia, 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
Accepted April 12, 2005

Case Report

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

C. L. Errando 1*, J. Tatay 1, A. Serrano-Romero 2, M. Gudín-Uriel 2, M. Revert 3, and C. M. Peiró 1

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

* To whom correspondence should be addressed.
C. L. Errando, E-mail: c.l.errando{at}carloserrando.com


  Abstract

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.

Keywords: anaesthesia, general; complications, hypovolaemic shock; complications, trauma; heart, cardiomyopathies.
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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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