Transapical valve-in-valve replacement of a stenosed prosthetic mitral valve in a critically ill patient with cardiogenic shock: a case report
| Autor: | Harper Podolsky, David Lasorda, Victor Farah, Subbarao Elapavaluru, Stephen H. Bailey |
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| Rok vydání: | 2018 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty business.industry Critically ill Cardiogenic shock medicine.medical_treatment Acute kidney injury 030204 cardiovascular system & hematology Vascular surgery medicine.disease Surgery Cardiac surgery 03 medical and health sciences 0302 clinical medicine Cardiothoracic surgery medicine Extracorporeal membrane oxygenation Coagulopathy 030212 general & internal medicine Cardiology and Cardiovascular Medicine business |
| Zdroj: | Indian Journal of Thoracic and Cardiovascular Surgery. 34:190-194 |
| ISSN: | 0973-7723 0970-9134 |
| DOI: | 10.1007/s12055-018-0680-9 |
| Popis: | The burden of managing dysfunctional mitral prosthetic valve disease in the elderly population is increasing for those who cannot tolerate a redo sternotomy along with their multiple comorbid conditions. We report a critically ill elderly patient with a high surgical risk, multiple comorbid conditions, longstanding chronic lung disease, hepatic dysfunction, coagulopathy, acute kidney injury, fluid overload and presenting with cardiogenic shock who was initially rescued with veno-arterial extracorporeal membrane oxygenation and then underwent successful transapical mitral valve-invalve replacement. She survived the procedure and was successfully extubated in the ICU on postoperative day 2. She died on day 5 due to a suspected thrombotic state. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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