RT Book, Section A1 Bissonnette, Bruno A1 Luginbuehl, Igor A1 Engelhardt, Thomas SR Print(0) ID 1164073107 T1 Homocystinuria (HCU) T2 Syndromes: Rapid Recognition and Perioperative Implications, 2e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259861789 LK accessanesthesiology.mhmedical.com/content.aspx?aid=1164073107 RD 2023/03/29 AB Genetically transmitted error of metabolism of the amino acid methionine leading to a multisystemic disorder of the connective tissue, muscles, central nervous system, and cardiovascular system. It is characterized by severe myopia, Marfan-like stature with pectus excavatum, slight mental retardation, and tendency to develop spontaneous, generalized arterial, and venous thromboses under stress. A special consideration must be given to anesthesiologists using nitrous oxide during anesthesia. An association between its administration and the potential risk for an acute and severe thromboembolism syndrome must be taken into consideration.