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Inicio Revista Española de Anestesiología y Reanimación (English Edition) Anaphylactic shock versus Kounis syndrome in cardiac surgery: Differential diagn...
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Vol. 66. Issue 1.
Pages 53-56 (January 2019)
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Vol. 66. Issue 1.
Pages 53-56 (January 2019)
Case report
DOI: 10.1016/j.redare.2018.08.009
Anaphylactic shock versus Kounis syndrome in cardiac surgery: Differential diagnosis
Shock anafiláctico versus síndrome de Kounis durante el intraoperatorio de cirugía cardiaca: diagnóstico diferencial
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M. Merino Garcíaa,
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marmergar81@gmail.com

Corresponding author.
, M. Castaño Ruizb, J.M. Marcos-Vidala, R. González de Castroa, S. Marcos Contrerasa, D. Fernández Garcíaa
a Servicio de Anestesiología y Reanimación, Complejo Asistencial Universitario de León, León, Spain
b Servicio de Cirugía Cardiaca, Complejo Asistencial Universitario de León, León, Spain
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Abstract

Although Kounis syndrome was described almost 3 decades ago, there has been a notable increase in the reports of cases of acute coronary syndromes developed in the context of allergic reactions, also known as Kounis syndrome. This article discusses the diagnostic possibility in the face of an acute biventricular failure in the course of an anaphylactic reaction during the intra-operative period of a cardiac valve surgery.

Keywords:
Kounis
Anaphylaxis
Acute biventricular failure
Amiodarone
Hypersensitivity
Cardiac surgery
Resumen

Pese a que fue descrito hace casi 3 décadas, ha sido en los últimos años cuando se ha producido un incremento notable en la comunicación de casos de síndromes coronarios agudos desarrollados en el contexto de reacciones alérgicas, entidad que es conocida como síndrome de Kounis. En este artículo nos planteamos esta posibilidad diagnóstica ante un fracaso biventricular agudo en el transcurso de una reacción anafiláctica durante el intraoperatorio de una cirugía valvular cardiaca.

Palabras clave:
Kounis
Anafilaxia
Fracaso biventricular agudo
Amiodarona
Hipersensibilidad
Cirugía cardiaca

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