Perioperative management of Sneddon syndrome during thyroidectomy.

[sneddon syndrome]

The perioperative management of an adult woman with Sneddon syndrome is presented . This syndrome is characterized by vasculopathy , hypercoagulable state , ischemic cerebral events , livedo reticularis , heart valve disease , and renal insufficiency . During surgery in these patients , the balance between bleeding and thrombosis requires rapid diagnostic information for therapeutic decisions . Thrombelastographic analysis may be a valuable tool to use in monitoring these patients .